Active NPI
Russell J. Flacco, DC
- Chiropractor
- Doylestown, PA
National Provider Identifier
1871606111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC001396L
- Practice address
- 252 W Swamp Rd
Unit 57
Doylestown, PA 18901-2465 - Phone
- (215) 348-9551
- Fax
- (215) 345-9078
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC001396L | PA | Primary |
Addresses
Primary practice location
252 W Swamp Rd
Unit 57
Doylestown, PA 18901-2465
Mailing address
252 W Swamp Rd
Unit 57
Doylestown, PA 18901-2465
Phone (215) 348-9551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060825000351 | PA | Practitioner - Chiropractic | 7810991213 | Practice locations: Doylestown, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1972
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
252 W Swamp Rd
Doylestown, PA 18901-2465
Phone (215) 345-9078
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214352000000",
"number": "1871606111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "252 W SWAMP RD",
"address_2": "UNIT 57",
"city": "DOYLESTOWN",
"state": "PA",
"postal_code": "189012465",
"telephone_number": "215-348-9551",
"fax_number": "215-345-9078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "252 W SWAMP RD",
"address_2": "UNIT 57",
"city": "DOYLESTOWN",
"state": "PA",
"postal_code": "189012465",
"telephone_number": "215-348-9551",
"fax_number": "215-345-9078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLACCO",
"first_name": "RUSSELL",
"middle_name": "J.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2008-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC001396L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Doylestown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.