Organization Active NPI

La Starza Inc

Doing business as La Starza Wellness

  • Chiropractor
  • Rockledge, FL
National Provider Identifier
1396912408
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9013 Issued in FL
Legal business name
LA STARZA INC
Doing business as
La Starza Wellness
Practice address
1027 Pathfinder Way
Suite 110 a
Rockledge, FL 32955-3267
Phone
(407) 970-7513
NPI assigned
May 8, 2008
Last updated
Aug 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

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

Authorized official

Name
Dr. Marco Joseph La Starza, D.C.NPI 1487870853
Title
President
Phone
(407) 970-7513

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH9013 FL Primary

Addresses

Primary practice location

1027 Pathfinder Way
Suite 110 a
Rockledge, FL 32955-3267

Mailing address

PO Box 5689
Titusville, FL 32783-5689
Phone (407) 970-7513

Other names 1

  • La Starza Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090311000231 FL Part B Supplier - Clinic/Group Practice 1658437967 Receives reassigned benefits from 1 practitioner
Practice locations: Melbourne, FL

National Provider Directory

National Provider Directory

Locations

355 Pineda CT
106
FL 32940

355 Pineda CT
106
Melbourne, FL 32940
Phone (321) 230-7071

355 Pineda CT
106
Melbourne, FL 32940
Phone (321) 230-7071

1355 N Courtenay Pkwy
Ste A
Merritt Island, FL 32953
Phone (321) 230-7071

1027 Pathfinder Way
#110A
Rockledge, FL 32955
Phone (321) 230-7071

4195 US Highway 1
Ste 101
Rockledge, FL 32955
Phone (321) 222-3607

Practitioners & affiliated clinicians

Practitioners 3

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": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1396912408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5689",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327835689",
            "telephone_number": "407-970-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 PATHFINDER WAY",
            "address_2": "SUITE 110 A",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553267",
            "telephone_number": "407-970-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA STARZA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "LA STARZA",
        "authorized_official_first_name": "MARCO",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-970-7513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Starza Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.