Active NPI
Charles Oliveri, D.C.
- Sports Physician Chiropractor
- Stuart, FL
National Provider Identifier
1407843550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- CH 6517
- Practice address
- 626 SE Central Pkwy
Stuart, FL 34994-3970 - Phone
- (772) 223-9597
- Fax
- (772) 223-1110
- NPI assigned
- Oct 4, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | CH 6517 | FL | Primary |
Addresses
Primary practice location
626 SE Central Pkwy
Stuart, FL 34994-3970
Mailing address
626 SE Central Pkwy
Stuart, FL 34994-3970
Phone (772) 223-9597
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 381453000 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| CH 6517 | FL | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Human Condition LLC | Current | Accepting new patients |
Locations
626 SE Central Pkwy
Stuart, FL 34994
Phone (772) 223-9597
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.
-
- Chiropractor
- Stuart, FL
- NPI 1629775721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427673600000",
"number": "1407843550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "626 SE CENTRAL PKWY",
"city": "STUART",
"state": "FL",
"postal_code": "349943970",
"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": "626 SE CENTRAL PKWY",
"city": "STUART",
"state": "FL",
"postal_code": "349943970",
"telephone_number": "772-223-9597",
"fax_number": "772-223-1110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVERI",
"first_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2015-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "FL",
"license": "CH 6517",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "381453000",
"state": "FL"
}
],
"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 Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.