Individual provider Active NPI

Felice Dolcimascolo, DC

  • Chiropractor
  • Norwalk, CT
National Provider Identifier
1386760908
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
000876 Issued in CT
Practice address
430 Main Avenue
Suite 201
Norwalk, CT 06851
Phone
(203) 847-7999
Fax
(203) 847-3033
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 000876 CT Primary
Chiropractor 111N00000X 3797 NJ
Chiropractor 111N00000X X005823 NJ

Addresses

Primary practice location

430 Main Avenue
Suite 201
Norwalk, CT 06851

Mailing address

PO Box 663
Redding, CT 06896-0663
Phone (203) 847-7999

Other identifiers 1

IdentifierTypeStateIssuer
050000876CT01OtherCTBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120208000391 CT Practitioner - Chiropractic 0244497923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

346 Main Ave
Norwalk, CT 06851-1510
Phone (203) 847-7999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
876CTMDBehavioral Analyst
3797NJMDChiropractor
X005823NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Back and Neck Care of Connecticut, L.L.C. Chiropractor CurrentSince Jan 1, 2012 Accepting new patients

Locations

346 Main Ave
Norwalk, CT 06851
Phone (203) 847-4400

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1386760908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 663",
            "city": "REDDING",
            "state": "CT",
            "postal_code": "068960663",
            "telephone_number": "203-847-7999",
            "fax_number": "203-847-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MAIN AVENUE",
            "address_2": "SUITE 201",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "06851",
            "telephone_number": "203-847-7999",
            "fax_number": "203-847-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLCIMASCOLO",
        "first_name": "FELICE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "000876",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "3797",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "X005823",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "050000876CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.