Organization Active NPI

Peninsula Chiropractic Center

  • Chiropractor
  • Seaford, DE
National Provider Identifier
1023217460
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1989021964 Issued in DE
Legal business name
PENINSULA CHIROPRACTIC CENTER
Practice address
26685 Sussex Hwy
Seaford, DE 19973-8525
Phone
(302) 629-4344
Fax
(302) 629-4646
NPI assigned
Jul 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Authorized official

Name
Dr. Michael A Triglia, D.C.NPI 1427119924
Title
President
Phone
(302) 629-4344

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 1989021964 DE Primary

Addresses

Primary practice location

26685 Sussex Hwy
Seaford, DE 19973-8525

Mailing address

26685 Sussex Hwy
Seaford, DE 19973-8525
Phone (302) 629-4344

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041016000192 DE Part B Supplier - Clinic/Group Practice 8325008089 Receives reassigned benefits from 3 practitioners
Practice locations: Seaford, DE

National Provider Directory

National Provider Directory

Locations

26685 Sussex Hwy
Seaford, DE 19973
Phone (302) 629-4344

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 6

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": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1023217460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26685 SUSSEX HWY",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199738525",
            "telephone_number": "302-629-4344",
            "fax_number": "302-629-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26685 SUSSEX HWY",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199738525",
            "telephone_number": "302-629-4344",
            "fax_number": "302-629-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "TRIGLIA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-629-4344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "1989021964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.