Individual provider Active NPI

Dominic Devon Kadziela, D.C.

  • Chiropractor
  • Frackville, PA
National Provider Identifier
1952105702
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC012032 Issued in PA
Practice address
246 S Lehigh Ave
Frackville, PA 17931-2205
Phone
(570) 874-3002
NPI assigned
Apr 2, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC012032 PA Primary

Addresses

Primary practice location

246 S Lehigh Ave
Frackville, PA 17931-2205

Mailing address

40 N Nice St
Frackville, PA 17931-1330
Phone (570) 391-6844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250408000210 PA Practitioner - Chiropractic 3971027392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adams Healthcare, PCGroup PAC ID 0547322034, 2 clinicians

Practice addresses (Care Compare)

246 S Lehigh Ave
Frackville, PA 17931-2205
Phone (570) 874-3002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adams Healthcare PC Chiropractor CurrentSince Apr 2, 2025 Accepting new patients

Locations

246 S Lehigh Ave
Frackville, PA 17931
Phone (570) 874-3002

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1952105702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N NICE ST",
            "city": "FRACKVILLE",
            "state": "PA",
            "postal_code": "179311330",
            "telephone_number": "570-391-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 S LEHIGH AVE",
            "city": "FRACKVILLE",
            "state": "PA",
            "postal_code": "179312205",
            "telephone_number": "570-874-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADZIELA",
        "first_name": "DOMINIC",
        "middle_name": "DEVON",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC012032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frackville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.