Active NPI
Scott Allen Ricciardi, DC
- Chiropractor
- East Liverpool, OH
National Provider Identifier
1912902974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1929
- Practice address
- 16494 St. Clair Ave
Suite C
East Liverpool, OH 43920-9465 - Phone
- (330) 386-6222
- Fax
- (330) 386-3378
- NPI assigned
- Jun 16, 2005
- Last updated
- Oct 5, 2011
- 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 | 1929 | OH | Primary |
Addresses
Primary practice location
16494 St. Clair Ave
Suite C
East Liverpool, OH 43920-9465
Mailing address
16494 St. Clair Ave
Suite C
East Liverpool, OH 43920-9465
Phone (330) 386-6222
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000137719 | Other | ANTHEM BC/BS PROVIDER ID | |
| 0928563 | Medicaid | OH | |
| 622722 | Other | HIGHMARK BCBS | |
| 9044330 | Medicaid | OH | |
| 0131937000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- East Liverpool, OH
- NPI 1104019397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317772800000",
"number": "1912902974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16494 ST. CLAIR AVE",
"address_2": "SUITE C",
"city": "EAST LIVERPOOL",
"state": "OH",
"postal_code": "439209465",
"telephone_number": "330-386-6222",
"fax_number": "330-386-3378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16494 ST. CLAIR AVE",
"address_2": "SUITE C",
"city": "EAST LIVERPOOL",
"state": "OH",
"postal_code": "439209465",
"telephone_number": "330-386-6222",
"fax_number": "330-386-3378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICCIARDI",
"first_name": "SCOTT",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2011-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "1929",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS PROVIDER ID",
"identifier": "000000137719",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0928563",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BCBS",
"identifier": "622722",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9044330",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0131937000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Liverpool, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.