Individual provider Active NPI

Keith Joseph Biscotti, D.C.

  • Chiropractor
  • Chula Vista, CA
National Provider Identifier
1033128210
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29217 Issued in CA
Practice address
213 Landis Ave
Chula Vista, CA 91910-2608
Phone
(619) 427-7761
Fax
(619) 427-7798
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC29217 CA Primary

Addresses

Primary practice location

213 Landis Ave
Chula Vista, CA 91910-2608

Mailing address

213 Landis Ave
Chula Vista, CA 91910-2608
Phone (619) 427-7761

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060922000316 CA Practitioner - Chiropractic 4486659539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

213 Landis Ave
Chula Vista, CA 91910-2608
Phone (619) 427-7761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC29217CAMDChiropractor
29217CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Keith J Biscotti Chiropractic Inc Chiropractor CurrentSince Jan 1, 2007 Accepting new patients

Locations

213 Landis Ave
Chula Vista, CA 91910
Phone (619) 427-7761

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033128210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 LANDIS AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102608",
            "telephone_number": "619-427-7761",
            "fax_number": "619-427-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 LANDIS AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102608",
            "telephone_number": "619-427-7761",
            "fax_number": "619-427-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISCOTTI",
        "first_name": "KEITH",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.