Individual provider Active NPI

John Pitzulo, D.C

  • Chiropractor
  • Simpsonville, SC
National Provider Identifier
1184012536
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4002 Issued in SC
Practice address
215 Batesville Rd Ste a
Simpsonville, SC 29681-4816
Phone
(864) 987-5541
NPI assigned
Jan 7, 2015
Last updated
Jan 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4002 SC Primary

Addresses

Primary practice location

215 Batesville Rd Ste a
Simpsonville, SC 29681-4816

Mailing address

215 Batesville Rd Ste a
Simpsonville, SC 29681-4816
Phone (864) 987-5541

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150422001186 SC Practitioner - Chiropractic 3476871575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic of the CarolinasGroup PAC ID 0840368676, 2 clinicians

Practice addresses (Care Compare)

215 Batesville Rd
Suite a
Simpsonville, SC 29681-4816
Phone (864) 987-5541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4002SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic of the Carolinas Chiropractor CurrentSince Feb 2, 2015 Accepting new patients

Locations

215 Batesville Rd
#A
Simpsonville, SC 29681
Phone (864) 987-5541

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1184012536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 BATESVILLE RD STE A",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296814816",
            "telephone_number": "864-987-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 BATESVILLE RD STE A",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296814816",
            "telephone_number": "864-987-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITZULO",
        "first_name": "JOHN",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.