Active NPI
Michael Dellacorte, DC
- Chiropractor
- Glendale, CA
National Provider Identifier
1033600101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 34222
- Practice address
- 2505 Canada Blvd
Glendale, CA 91208-2042 - Phone
- (203) 520-4508
- NPI assigned
- May 24, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 34222 | CA | Primary |
Addresses
Primary practice location
2505 Canada Blvd
Glendale, CA 91208-2042
Mailing address
622 Palm Dr
Glendale, CA 91202-2835
Phone (203) 520-4508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34222 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527120000000",
"number": "1033600101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 PALM DR",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912022835",
"telephone_number": "203-520-4508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 CANADA BLVD",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912082042",
"telephone_number": "203-520-4508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELLACORTE",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-24",
"last_updated": "2018-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "34222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.