NPIMap

Organization Active NPI

Charles Oliveri, D.C. P.a.

  • Chiropractor
  • Stuart, FL
National Provider Identifier
1336449362
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6517 Issued in FL
Legal business name
CHARLES OLIVERI, D.C. P.A.
Practice address
1990 SE Ocean Blvd
Stuart, FL 34996-3302
Phone
(772) 223-9597
Fax
(772) 223-1110
NPI assigned
Oct 25, 2010
Last updated
Oct 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Authorized official

Name
Dr. Charles Oliveri, D.C.NPI 1407843550
Title
Owner
Phone
(772) 223-9597

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH6517 FL Primary

Addresses

Primary practice location

1990 SE Ocean Blvd
Stuart, FL 34996-3302

Mailing address

1990 SE Ocean Blvd
Stuart, FL 34996-3302
Phone (772) 223-9597

Other identifiers 7

IdentifierTypeStateIssuer
55334AOtherFLMEDICARE
2445272OtherKYAETNA
350053282OtherGARAILROAD MEDICARE
55334OtherFLBLUE CROSS/BLUE OF FLORIDA
628367OtherGAUNITED HEALTHCARE
9614467OtherNYGHI
948552OtherKYHUMANA

National Provider Directory

National Provider Directory

Locations

1990 SE Ocean Blvd
Stuart, FL 34996
Phone (772) 223-9597

Practitioners & affiliated clinicians

Practitioners 4

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": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1336449362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963302",
            "telephone_number": "772-223-9597",
            "fax_number": "772-223-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963302",
            "telephone_number": "772-223-9597",
            "fax_number": "772-223-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES OLIVERI, D.C. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-25",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "OLIVERI",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-223-9597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "55334A",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2445272",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350053282",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE OF FLORIDA",
            "identifier": "55334",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "628367",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9614467",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "948552",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.