Individual provider Active NPI

David Piccolino, D.C.

  • Chiropractor
  • Hialeah, FL
National Provider Identifier
1205192127
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10593 Issued in FL
Practice address
18308 NW 68TH Ave
Apt E
Hialeah, FL 33015-3416
Phone
(718) 753-9309
NPI assigned
Apr 4, 2012
Last updated
Apr 4, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10593 FL Primary

Addresses

Primary practice location

18308 NW 68TH Ave
Apt E
Hialeah, FL 33015-3416

Mailing address

18308 NW 68TH Ave
Apt E
Hialeah, FL 33015-3416
Phone (718) 753-9309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10593FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1205192127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18308 NW 68TH AVE",
            "address_2": "APT E",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153416",
            "telephone_number": "718-753-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18308 NW 68TH AVE",
            "address_2": "APT E",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153416",
            "telephone_number": "718-753-9309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCOLINO",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "10593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

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