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

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diciaula Health Services, SCGroup PAC ID 1153421151, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Diciaula Health Services, SC

  • Chiropractor
  • Pewaukee, WI
  • NPI 1104031764
  Medicare reassignment Care Compare group Authorized official
• Albrecht Chiropractic Center, S.C.

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

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

{
    "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

• Chiropractor in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• 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.