Active NPI
Paul L Guadagno, D.C.
- Rehabilitation Chiropractor
- South Miami, FL
National Provider Identifier
1285733212
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jan 20, 2021.
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- CH9004
- Practice address
- 6075 Sunset Dr 203
South Miami, FL 33143-5000 - Phone
- (305) 971-0302
- Fax
- (305) 971-8222
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | CH9004 | FL | Primary |
Addresses
Primary practice location
6075 Sunset Dr 203
South Miami, FL 33143-5000
Mailing address
7801 SW 133Rd CT
Miami, FL 33183-3319
Phone (786) 701-8671
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH9004 | FL | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sam Chan PC | Past | Accepting new patients | |
| Shields Chiropractic LLC | Rehabilitation | Past | Accepting new patients |
| West Medical Center Health Care Corp | Past | Accepting new patients | |
| Chiromed Center, Inc | Rehabilitation | Past | Accepting new patients |
| Lawrence a Gralewski | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- General Practice Physician
- Hialeah, FL
- NPI 1225258106
-
dba Kal Family Chiropractic
- Chiropractor
- Owosso, MI
- NPI 1467561225
Rehabilitation
-
dba Shields Chiropractic
- Chiropractor
- Saginaw, MI
- NPI 1275567422
Rehabilitation
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436918400000",
"number": "1285733212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7801 SW 133RD CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331833319",
"telephone_number": "786-701-8671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6075 SUNSET DR 203",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331435000",
"telephone_number": "305-971-0302",
"fax_number": "305-971-8222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUADAGNO",
"first_name": "PAUL",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2015-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "FL",
"license": "CH9004",
"primary": true
}
],
"identifiers": [],
"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 Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.