Diciaula Health Services, SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3967-012 Issued in WI

Legal business name

DICIAULA HEALTH SERVICES, SC

Practice address

213 W Wisconsin Ave
Pewaukee, WI 53072-3435

Phone

(262) 695-0022

Fax

(262) 695-0011

NPI assigned

May 14, 2007

Organization subpart

No

Name

Dr. Tad A Diciaula, DCNPI 1124181680

Title

President

Phone

(262) 695-0022

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

• Tad Alan Diciaula, D.C.

  • Chiropractor
  • Pewaukee, WI
  • NPI 1124181680

  WI

  Medicare reassignment Care Compare group Authorized official
• Bradley William Nutting, D.C.

  • Chiropractor
  • Pewaukee, WI
  • NPI 1558536185

  WI

  Medicare reassignment Care Compare group
• Zachary Heipel, DC

  • Chiropractor
  • Glendale, WI
  • NPI 1215633839

  Chiropractor

  NPD (past)
• Charles Kautz, DC

  • Chiropractor
  • Nashville, TN
  • NPI 1215378823

  Chiropractor

  NPD (past)

Medicare fee-for-service enrollment

Enrolled in WI

Locations

• chiropractic and wellness on pewaukee lake Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 29, 2015.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1104031764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 W WISCONSIN AVE",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723435",
            "telephone_number": "262-695-0022",
            "fax_number": "262-695-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 W WISCONSIN AVE",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723435",
            "telephone_number": "262-695-0022",
            "fax_number": "262-695-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICIAULA HEALTH SERVICES, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "DICIAULA",
        "authorized_official_first_name": "TAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-695-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3967-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "chiropractic and wellness on pewaukee lake",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephanie Hall Delmore, LPC
• Patricia Dennison, RN
• Kesha Desai Rajguru, O.D.
• Harshita Desai-Walter, LPC
• Dialyze Direct Wi, LLC
• Tad Alan Diciaula, D.C.
• Jolie A Dillaber, RN
• Nicholas Dillon, M.S., M.A., SACIT
• Marie Dittmer, MA, RDN
• Divine Care Transportation LLC

• All providers in Pewaukee, WI
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.