Tad Alan Diciaula, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3967-012 Issued in WI

Practice address

213 W Wisconsin Ave
Pewaukee, WI 53072-3435

Phone

(262) 695-0022

Fax

(262) 695-0011

NPI assigned

Dec 18, 2006

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Diciaula Health Services, SC

  • Chiropractor
  • Pewaukee, WI
  • NPI 1104031764

  WI

  Medicare reassignment Care Compare group Authorized official
• Albrecht Chiropractic Center, S.C.

  • Chiropractor
  • Waukesha, WI
  • NPI 1811040066
  NPD (past)

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diciaula Health Services, SC 2 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124181680",
    "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": {
        "last_name": "DICIAULA",
        "first_name": "TAD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3967-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Dennison, RN
• Kesha Desai Rajguru, O.D.
• Harshita Desai-Walter, LPC
• Dialyze Direct Wi, LLC
• Diciaula Health Services, SC
• Jolie A Dillaber, RN
• Nicholas Dillon, M.S., M.A., SACIT
• Marie Dittmer, MA, RDN
• Divine Care Transportation LLC
• Jenna Lavin Dobling, CRNA

• 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.