Individual provider Active NPI

Anthony John Macioce, D.C.

  • Chiropractor
  • Duluth, MN
National Provider Identifier
1154598985
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4031 Issued in MN
Practice address
9479 Garland Lane N.
Duluth, MN 55311-5840
Phone
(763) 494-8787
Fax
(763) 494-8841
NPI assigned
May 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4031 MN Primary

Addresses

Primary practice location

9479 Garland Lane N.
Duluth, MN 55311-5840

Mailing address

9479 Garland Lane N.
Duluth, MN 55311-5840
Phone (763) 494-8787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080806000273 MN Practitioner - Chiropractic 8325112592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northgate Health Clinic, P.a.Group PAC ID 7517930696, 3 clinicians

Practice addresses (Care Compare)

600 11TH Ave NW
Rochester, MN 55901-1805
Phone (507) 285-1677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4031MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Northgate Health Clinic, P.a. Chiropractor CurrentSince Mar 29, 2023 Accepting new patients
Macioce Chiropractic L. L. C. Chiropractor Current Accepting new patients
Hands on Solutions PPLC Chiropractor PastSince May 14, 2023 Accepting new patients
Robert J Torgrimson PA Chiropractor Past Accepting new patients

Locations

600 11th Ave NW
Rochester, MN 55901
Phone (507) 285-1677

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1154598985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9479 GARLAND LANE N.",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "553115840",
            "telephone_number": "763-494-8787",
            "fax_number": "763-494-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9479 GARLAND LANE N.",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "553115840",
            "telephone_number": "763-494-8787",
            "fax_number": "763-494-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIOCE",
        "first_name": "ANTHONY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-12",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.