Individual provider Active NPI

Joel Michael Pistello, DC

  • Chiropractor
  • Sioux City, IA
National Provider Identifier
1366714883
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007508 Issued in IA
Practice address
3930 Stadium Dr
Sioux City, IA 51106-5166
Phone
(712) 276-4325
Fax
(712) 276-6033
NPI assigned
Jan 30, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 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 007508 IA Primary

Addresses

Primary practice location

3930 Stadium Dr
Sioux City, IA 51106-5166

Mailing address

3930 Stadium Dr
Sioux City, IA 51106-5166
Phone (712) 276-4325

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120224000676 IA Practitioner - Chiropractic 7012175813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multi Care Physicians Group PCGroup PAC ID 1153390745, 5 clinicians

Practice addresses (Care Compare)

3930 Stadium Dr
Sioux City, IA 51106-5166
Phone (712) 276-4325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Multi Care Physicians Group PC CurrentSince Feb 15, 2012 Accepting new patients

Locations

3930 Stadium Dr
Sioux City, IA 51106
Phone (712) 271-6463

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1366714883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 STADIUM DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511065166",
            "telephone_number": "712-276-4325",
            "fax_number": "712-276-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 STADIUM DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511065166",
            "telephone_number": "712-276-4325",
            "fax_number": "712-276-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISTELLO",
        "first_name": "JOEL",
        "middle_name": "MICHAEL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.