Organization Active NPI

Scalise Chiropractic PLLC

  • Chiropractor
  • North Huntingdon, PA
National Provider Identifier
1972033587
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-5162 Issued in PA
Legal business name
SCALISE CHIROPRACTIC PLLC
Practice address
12280 State Route 30
North Huntingdon, PA 15642
Phone
(724) 864-7447
Fax
(724) 864-8022
NPI assigned
Jun 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. William F Scalise, DCNPI 1851331763
Title
Owner
Phone
(724) 864-7447

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC-5162 PA Primary

Addresses

Primary practice location

12280 State Route 30
North Huntingdon, PA 15642

Mailing address

12280 State Route 30
North Huntingdon, PA 15642-1820
Phone (724) 864-7447

Other identifiers 2

IdentifierTypeStateIssuer
25-1799260OtherPATAX ID
0017498000002MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170920000222 PA Part B Supplier - Clinic/Group Practice 0941574685 Receives reassigned benefits from 1 practitioner
Practice locations: North Huntingdon, PA

National Provider Directory

National Provider Directory

Locations

12280 State Route 30
North Huntingdon, PA 15642
Phone (724) 863-2000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1972033587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12280 STATE ROUTE 30",
            "city": "NORTH HUNTINGDON",
            "state": "PA",
            "postal_code": "156421820",
            "telephone_number": "724-864-7447",
            "fax_number": "724-864-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12280 STATE ROUTE 30",
            "city": "NORTH HUNTINGDON",
            "state": "PA",
            "postal_code": "15642",
            "telephone_number": "724-864-7447",
            "fax_number": "724-864-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCALISE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SCALISE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-864-7447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-5162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "25-1799260",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017498000002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Huntingdon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.