Robert Joseph Iannucci, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010246 Issued in MI

Practice address

34100 Woodward Ave Ste 100
Birmingham, MI 48009-0962

Phone

(248) 645-6070

Fax

(248) 645-2949

NPI assigned

Mar 11, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Birmingham Wellness Center PLLCGroup PAC ID 9032209200, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Birmingham Wellness Center PLLC

  • Chiropractor
  • Birmingham, MI
  • NPI 1740319102
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1285027508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34100 WOODWARD AVE STE 100",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480090962",
            "telephone_number": "248-645-6070",
            "fax_number": "248-645-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34100 WOODWARD AVE STE 100",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480090962",
            "telephone_number": "248-645-6070",
            "fax_number": "248-645-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IANNUCCI",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-11",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.