Michael John Pesta, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4391 Issued in CO

Practice address

7180 E Orchard Rd
Suite 100
Centennial, CO 80111-1724

Phone

(303) 489-1349

NPI assigned

Jun 13, 2008

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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 and National Provider Directory roles.

• Dr Ramzi Dalloul, DC Inc

  dba In Good Form

  • Chiropractor
  • Westminster, CO
  • NPI 1821201955
  NPD (past)

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1164682027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7180 E ORCHARD RD",
            "address_2": "SUITE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801111724",
            "telephone_number": "303-489-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7180 E ORCHARD RD",
            "address_2": "SUITE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801111724",
            "telephone_number": "303-489-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESTA",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perfect Teeth - South Holly Street P.C.
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• Michelle Anne Perovich, LMFT
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• Jacqueline Delia Peters, OTR, OTD
• Jamie Peters, PHARMD
• Melissa Peters, D.O.
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• Chiropractor in Centennial, CO
• Providers in Centennial, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.