Marc Scott Degennaro, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1147 Issued in VA

Practice address

90 Whitewood Rd
Suite #2
Charlottesville, VA 22901-1668

Phone

(434) 978-4473

Fax

(434) 978-4644

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1942309554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 WHITEWOOD RD",
            "address_2": "SUITE #2",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011668",
            "telephone_number": "434-978-4473",
            "fax_number": "434-978-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 WHITEWOOD RD",
            "address_2": "SUITE #2",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011668",
            "telephone_number": "434-978-4473",
            "fax_number": "434-978-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGENNARO",
        "first_name": "MARC",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "1147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "0000000076114",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark D Deboer, MD
• Deborah E Healey MD PLC
• Deborah Sinek, PHD LLC
• Evan Decan, MD
• Michele P Degarmo, MPT
• Brent R Degeorge, MD
• Pamela Corinne Degeorge, M.D.
• Gregory Gerard Degnan VI, M.D.
• Christianna Deichmann, LMT, BCST
• Benjamin Jacob Deike, PHARMD

• Chiropractor in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.

Verify at the official NPI Registry.