Organization Active NPI

Ross Palazzolo Chiropractic Clinic

  • Chiropractor
  • Naples, FL
National Provider Identifier
1194911834
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 5000 Issued in FL
Legal business name
ROSS PALAZZOLO CHIROPRACTIC CLINIC
Practice address
811 Myrtle Ter
Naples, FL 34103-2814
Phone
(239) 659-4442
Fax
(239) 659-4445
NPI assigned
Sep 17, 2007
Last updated
Sep 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Authorized official

Name
Dr. Ross Palazzolo, D.C.
Title
Chiropractor/Owner
Phone
(239) 659-4442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 5000 FL Primary

Addresses

Primary practice location

811 Myrtle Ter
Naples, FL 34103-2814

Mailing address

811 Myrtle Ter
Naples, FL 34103-2814
Phone (239) 659-4442

Other identifiers 2

IdentifierTypeStateIssuer
70722OtherFLBLUE CROSS BLUE SHIELD
1427110592OtherFLMEDICARE NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1194911834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 MYRTLE TER",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341032814",
            "telephone_number": "239-659-4442",
            "fax_number": "239-659-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 MYRTLE TER",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341032814",
            "telephone_number": "239-659-4442",
            "fax_number": "239-659-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS PALAZZOLO CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "PALAZZOLO",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "239-659-4442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 5000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "70722",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1427110592",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.