Dr. Tristan Miceli, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11108 Issued in FL

Legal business name

DR. TRISTAN MICELI, PLLC

Practice address

129 S State Road 7 Ste 402
Wellington, FL 33414-4379

Phone

(561) 469-6699

Fax

(561) 469-6636

NPI assigned

Jun 19, 2015

Organization subpart

No

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

Authorized official

Name

Tristan Miceli, D.C.

Title

Chiropractor/Owner

Phone

(561) 469-6699

Specialties & licenses 1

Addresses

Other names 1

• Pure Wellness Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Larry A Hawkins, D.C.

  • Chiropractor
  • Lake Worth, FL
  • NPI 1841387404
  NPD (past)
• Frankie P. Rizzuto, D.C.

  • Chiropractor
  • Boynton Beach, FL
  • NPI 1366749392
  NPD (past)

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543795200000",
    "number": "1083096648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 S STATE ROAD 7 STE 402",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144379",
            "telephone_number": "561-469-6699",
            "fax_number": "561-469-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 S STATE ROAD 7 STE 402",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144379",
            "telephone_number": "561-469-6699",
            "fax_number": "561-469-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TRISTAN MICELI, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2018-12-03",
        "status": "A",
        "authorized_official_last_name": "MICELI",
        "authorized_official_first_name": "TRISTAN",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "561-469-6699",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "11108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr Harvey a Klein
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• Dr. Edwin W. Maldonado, M.D., P.L.
• Dr. Matthew J. Tavolacci DC, LLC
• Dr. Neil G. Goldhaber, M.D., P.a.
• Dream Believe Transforming Lives Counseling Corp
• Dream, Believe...Transforming Lives Corporation
• Dresner Chiropractic Center PA
• David Dresner, D.C.
• David Drexler, D.O.

• Chiropractor in Wellington, FL
• Providers in Wellington, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.

Verify at the official NPI Registry.