Individual provider Active NPI

David Joseph Marraccini Jr., DC

  • Chiropractor
  • Pittsburgh, PA
National Provider Identifier
1982745337
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC001872L Issued in PA
Practice address
17 Orchard Drive
Pittsburgh, PA 15220-3243
Phone
(412) 531-1715
Fax
(412) 531-6180
NPI assigned
Feb 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC001872L PA Primary

Addresses

Primary practice location

17 Orchard Drive
Pittsburgh, PA 15220-3243

Mailing address

17 Orchard Drive
Pittsburgh, PA 15220-3243
Phone (412) 531-1715

Other identifiers 2

IdentifierTypeStateIssuer
70071MedicaidPA
023544OtherPABLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120327000503 PA Practitioner - Chiropractic 8729248877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1978
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17 Orchard Dr
Pittsburgh, PA 15220-3243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC001872LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Marraccini Chiropractic Life Center P.C. Chiropractor CurrentSince Mar 8, 1979 Accepting new patients

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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1982745337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 ORCHARD DRIVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152203243",
            "telephone_number": "412-531-1715",
            "fax_number": "412-531-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 ORCHARD DRIVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152203243",
            "telephone_number": "412-531-1715",
            "fax_number": "412-531-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRACCINI",
        "first_name": "DAVID",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC001872L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70071",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "023544",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.