Organization Active NPI

Nicholas W. Belletto D.C. P.a.

Doing business as University Family Chiropractic

  • Chiropractor
  • Tallahassee, FL
National Provider Identifier
1073741708
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9082 Issued in FL
Legal business name
NICHOLAS W. BELLETTO D.C. P.A.
Doing business as
University Family Chiropractic
Practice address
1224 Ocala Rd
Tallahassee, FL 32304-1548
Phone
(850) 576-2129
NPI assigned
Jul 1, 2009
Last updated
Jul 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Authorized official

Name
Dr. Nicholas Walter Belletto, D.C.NPI 1659497006
Title
President
Phone
(850) 576-2129

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
Chiropractor 111N00000X CH9082 FL Primary

Addresses

Primary practice location

1224 Ocala Rd
Tallahassee, FL 32304-1548

Mailing address

1224 Ocala Rd
Tallahassee, FL 32304-1548
Phone (850) 576-2129

Other names 1

  • University Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090727000180 FL Part B Supplier - Clinic/Group Practice 4183777063 Receives reassigned benefits from 2 practitioners
Practice locations: Tallahassee, FL

National Provider Directory

National Provider Directory
Tax ID family
Nicholas W Belletto DC PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1073741708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 OCALA RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323041548",
            "telephone_number": "850-576-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 OCALA RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323041548",
            "telephone_number": "850-576-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS W. BELLETTO D.C. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "BELLETTO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-576-2129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.