Active NPI
Charles C. Descalzi, D.C.
- Chiropractor
- Silver Spring, MD
National Provider Identifier
1871659029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01174
- Practice address
- 11600 Georgia Ave
Silver Spring, MD 20902-1917 - Phone
- (301) 942-2200
- Fax
- (301) 942-2202
- NPI assigned
- Dec 29, 2006
- Last updated
- Oct 24, 2017
- 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 | 01174 | MD | Primary |
Addresses
Primary practice location
11600 Georgia Ave
Silver Spring, MD 20902-1917
Mailing address
11600 Georgia Ave
Silver Spring, MD 20902-1917
Phone (301) 942-2200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R41273401 | Other | BCBS | |
| 4271202 | Other | AETNA | |
| E6630001 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120518000263 | DC | Practitioner - Chiropractic | 8729241351 | Practice locations: Silver Spring, MD |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1981
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
11600 Georgia Ave
Silver Spring, MD 20902-1917
Phone (301) 942-2200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01174 | MD | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508803200000",
"number": "1871659029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11600 GEORGIA AVE",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209021917",
"telephone_number": "301-942-2200",
"fax_number": "301-942-2202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11600 GEORGIA AVE",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209021917",
"telephone_number": "301-942-2200",
"fax_number": "301-942-2202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESCALZI",
"first_name": "CHARLES",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2017-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "01174",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "R41273401",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4271202",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "E6630001",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.