Individual provider Active NPI

Victor Daniel Tricoche, D.C.,M.S.

  • Chiropractor
  • Melbourne, FL
National Provider Identifier
1447548292
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10086 Issued in FL
Practice address
1855 W Hibiscus Blvd
Melbourne, FL 32901-2622
Phone
(321) 802-4521
Fax
(321) 802-4523
NPI assigned
Jul 14, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10086 FL Primary

Addresses

Primary practice location

1855 W Hibiscus Blvd
Melbourne, FL 32901-2622

Mailing address

1855 W Hibiscus Blvd
Melbourne, FL 32901-2622
Phone (321) 802-4521

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111103000300 FL Practitioner - Chiropractic 6305019563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

305 W Hibiscus Blvd
Melbourne, FL 32901-2720
Phone (321) 802-4521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Tricoche Integrated Health Inc CurrentSince Apr 17, 2020 Accepting new patients
Tricoche Family Chiropractic Inc. Chiropractor CurrentSince Aug 12, 2011 Accepting new patients

Locations

305 W Hibiscus Blvd
Melbourne, FL 32901
Phone (321) 802-4521

1855 W Hibiscus Blvd
Melbourne, FL 32901
Phone (321) 265-4409

Organizations & group practices 2

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": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1447548292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 W HIBISCUS BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012622",
            "telephone_number": "321-802-4521",
            "fax_number": "321-802-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 W HIBISCUS BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012622",
            "telephone_number": "321-802-4521",
            "fax_number": "321-802-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRICOCHE",
        "first_name": "VICTOR",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.C.,M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-14",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.