ANTHONY DEPIETRO D.C. NPI 1194780122

NPI Information

NPI: 1194780122
Provider Name: ANTHONY DEPIETRO, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
1536 MAIN ST
1ST FLOOR REAR
PECKVILLE, PA
ZIP 18452
Phone: (570) 291-4450
Get Directions

Anthony Depietro, D.C. is a chiropractor in Peckville, PA with 22 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. Anthony Depietro, D.C. NPI is 1194780122. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK CHIROPRACTIC COLLEGE
Graduation Year:2002

The provider's business location address is:

1536 MAIN ST
1ST FLOOR REAR
PECKVILLE, PA
ZIP 18452-062
Phone: (570) 291-4450
Fax: (570) 291-4454

The enumeration date for this NPI number is 4/20/2006 and was last updated on 8/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		DC008925	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	78572-1067	OTHER	PENNSYLVANIA	GEISINGER
2	101168716-0001	MEDICAID	PENNSYLVANIA
3	001998704	OTHER	PENNSYLVANIA	BLUE CARE
4	20045679	OTHER	PENNSYLVANIA	AMERIHEALTH
5	854450	OTHER	PENNSYLVANIA	OPTUM-UHC
6	P00315312	OTHER	PENNSYLVANIA	RAILROAD MEDICARE
7	001998704	OTHER	PENNSYLVANIA	BLUE CARE HMO (FPH)
8	1058062/7225529	OTHER	PENNSYLVANIA	AETNA
9	1194780122	OTHER	PENNSYLVANIA	GHP FAMILY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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