Percuoco Chiropractic and Rehabilitation, PLLC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

Legal business name

PERCUOCO CHIROPRACTIC AND REHABILITATION, PLLC

Practice address

3200 Ingersoll Ave Ste E
Des Moines, IA 50312-3917

Phone

(515) 620-3550

Fax

(515) 259-6383

NPI assigned

Mar 26, 2020

Last updated

Mar 26, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Thomas Percuoco, DCNPI 1821585357

Title

Owner/Operator

Phone

(515) 620-3550

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Kevin Thomas Percuoco, DC

  • Sports Physician Chiropractor
  • Victorville, CA
  • NPI 1821585357
  NPD Authorized official

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1427685569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 WESTOWN PKWY UNIT 5106",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661653",
            "telephone_number": "563-370-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 INGERSOLL AVE STE E",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503123917",
            "telephone_number": "515-620-3550",
            "fax_number": "515-259-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERCUOCO CHIROPRACTIC AND REHABILITATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "PERCUOCO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "515-620-3550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821585357",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia L Pena, MS
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• Changfu Peng, M.D.
• Vanessa Lynn Penick, MSN, ARNP, AGNP-C
• Kevin James Percival, MD
• Jean Percy-Sweet, MPT
• Arturo Jose Perez Peralta, MD
• Isabelle Perez-Conde, DO
• Perinatal Center of Iowa LLC
• Perinatal Center of Iowa LLC (Perinatal Nurse Practitioners)

• Sports Physician Chiropractor in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Sports Physician Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.