NPIMap

Organization Active NPI

Durell L. Decarlo DC, PC

  • Chiropractor
  • Uniontown, PA
National Provider Identifier
1922250760
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007461 Issued in PA
Legal business name
DURELL L. DECARLO DC, PC
Practice address
150 Wayland Smith Dr
Suite a
Uniontown, PA 15401-2677
Phone
(724) 437-8200
Fax
(724) 437-6673
NPI assigned
Oct 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tammy Samples
Title
Assistant Manager
Phone
(724) 437-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 007461 PA Primary

Addresses

Primary practice location

150 Wayland Smith Dr
Suite a
Uniontown, PA 15401-2677

Mailing address

150 Wayland Smith Dr
Suite a
Uniontown, PA 15401-2677
Phone (724) 437-8200

Other identifiers 1

IdentifierTypeStateIssuer
0019128830002MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1922250760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WAYLAND SMITH DR",
            "address_2": "SUITE A",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154012677",
            "telephone_number": "724-437-8200",
            "fax_number": "724-437-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WAYLAND SMITH DR",
            "address_2": "SUITE A",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154012677",
            "telephone_number": "724-437-8200",
            "fax_number": "724-437-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURELL L. DECARLO DC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "SAMPLES",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "ASSISTANT MANAGER",
        "authorized_official_telephone_number": "724-437-8200"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "007461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019128830002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.