Organization Active NPI

Spicuzzo Chiropractic, LLC

Doing business as Deerfield Health and Wellness Center

  • Medical Specialty Clinic/Center
  • Deerfield Beach, FL
National Provider Identifier
1245655208
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
CH 10306 Issued in FL
Legal business name
SPICUZZO CHIROPRACTIC, LLC
Doing business as
Deerfield Health and Wellness Center
Practice address
100 S Military TRL Ste 18
Deerfield Beach, FL 33442-3031
Phone
(954) 570-4080
Fax
(866) 715-7529
NPI assigned
Feb 27, 2014
Last updated
May 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Authorized official

Name
Dr. Ryan E Spicuzzo, D.C.NPI 1548564982
Title
Vice President
Phone
(561) 797-5132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X CH 10306 FL Primary

Addresses

Primary practice location

100 S Military TRL Ste 18
Deerfield Beach, FL 33442-3031

Mailing address

12781 Orange Grove Blvd
Royal Palm Beach, FL 33411-8912
Phone (561) 797-5132

Other names 1

  • Deerfield Health and Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140825002412 FL Part B Supplier - Clinic/Group Practice 1759509250 Receives reassigned benefits from 1 practitioner
Practice locations: Deerfield Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1245655208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12781 ORANGE GROVE BLVD",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118912",
            "telephone_number": "561-797-5132",
            "fax_number": "866-715-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MILITARY TRL STE 18",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334423031",
            "telephone_number": "954-570-4080",
            "fax_number": "866-715-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPICUZZO CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "SPICUZZO",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "561-797-5132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "CH 10306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deerfield Health and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.