Individual provider Active NPI

Thomas R. Maurno, D.C.

  • Chiropractor
  • South Miami, FL
National Provider Identifier
1184760340
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0007476 Issued in FL
Practice address
5901 SW 74TH St
Suite209
South Miami, FL 33143-5165
Phone
(305) 666-4449
Fax
(305) 666-4749
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 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 CH0007476 FL Primary

Addresses

Primary practice location

5901 SW 74TH St
Suite209
South Miami, FL 33143-5165

Mailing address

5901 SW 74TH St
Suite209
South Miami, FL 33143-5165
Phone (305) 666-4449

Other identifiers 2

IdentifierTypeStateIssuer
036696OtherFLNEIGHBORHOOD HEALTH PLAN
55636OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120724000959 FL Practitioner - Chiropractic 5193981876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5901 Sw74Th St
Suite 209
South Miami, FL 33143
Phone (305) 666-4449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0007476FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sunset Chiropractic Associates PA Chiropractor CurrentSince Feb 21, 2001 Accepting new patients

Locations

7575 SW 62nd Ave
Ste A
South Miami, FL 33143
Phone (305) 666-4449

5901 SW 74th St
Ste 209
South Miami, FL 33143
Phone (305) 666-4449

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430697600000",
    "number": "1184760340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 SW 74TH ST",
            "address_2": "SUITE209",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435165",
            "telephone_number": "305-666-4449",
            "fax_number": "305-666-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 SW 74TH ST",
            "address_2": "SUITE209",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435165",
            "telephone_number": "305-666-4449",
            "fax_number": "305-666-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURNO",
        "first_name": "THOMAS",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2015-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0007476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "036696",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "55636",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.