Individual provider Active NPI

Frank J Mazzarelli, DC

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1093991143
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH5142 Issued in FL
Practice address
1931 Dr MLK Jr Blvd W Ste a
Tampa, FL 33607-6529
Phone
(813) 873-9229
Fax
(813) 873-9228
NPI assigned
Jan 18, 2008
Last updated
Jan 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH5142 FL Primary

Addresses

Primary practice location

1931 Dr MLK Jr Blvd W Ste a
Tampa, FL 33607-6529

Mailing address

1931 Dr MLK Jr Blvd W Ste a
Tampa, FL 33607-6529
Phone (813) 873-9229

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH5142FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1093991143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 DR MLK JR BLVD W STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076529",
            "telephone_number": "813-873-9229",
            "fax_number": "813-873-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 DR MLK JR BLVD W STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076529",
            "telephone_number": "813-873-9229",
            "fax_number": "813-873-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZARELLI",
        "first_name": "FRANK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.