Dominique Katherine Pitaccio, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

B01346 Issued in NV

Practice address

7035 W Ann Rd
Suite 160
Las Vegas, NV 89130-3863

Phone

(702) 396-0277

Fax

(702) 396-3790

NPI assigned

Jun 25, 2012

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1164786109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7035 W ANN RD",
            "address_2": "SUITE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303863",
            "telephone_number": "702-396-0277",
            "fax_number": "702-396-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7035 W ANN RD",
            "address_2": "SUITE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303863",
            "telephone_number": "702-396-0277",
            "fax_number": "702-396-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITACCIO",
        "first_name": "DOMINIQUE",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NV",
            "license": "B01346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaista Pirzada
• Amber Pisano
• Nina Pisarenko
• Tyler Jay Pisciotta
• Ashley L Pistorio, MD
• Patrick Pitrello, ATC
• Graceann Ashley Pittari, PMHNP-BC
• Arthur Benjamin Pitterman, MD
• Shari Ahava Pitterman, M.S., CCC-SLP
• Perla Lucero Pittet

• Rehabilitation Chiropractor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Rehabilitation Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.