Individual provider Active NPI

David Vice Skaro, D.C.

  • Chiropractor
  • St Petersburg, FL
National Provider Identifier
1386617645
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10684 Issued in FL
Practice address
3641 Tyrone Blvd N Ste 3
St Petersburg, FL 33710-1150
Phone
(727) 466-3333
Fax
(773) 275-1568
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10684 FL Primary

Addresses

Primary practice location

3641 Tyrone Blvd N Ste 3
St Petersburg, FL 33710-1150

Mailing address

3641 Tyrone Blvd N Ste 3
St Petersburg, FL 33710-1150
Phone (727) 466-3333

Other identifiers 1

IdentifierTypeStateIssuer
1386617645OtherILNPI

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH10684FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1386617645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 TYRONE BLVD N STE 3",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101150",
            "telephone_number": "727-466-3333",
            "fax_number": "773-275-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 TYRONE BLVD N STE 3",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101150",
            "telephone_number": "727-466-3333",
            "fax_number": "773-275-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKARO",
        "first_name": "DAVID",
        "middle_name": "VICE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1386617645",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.