Richard Pellegrino DC Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

CH9109 Issued in FL

Legal business name

RICHARD PELLEGRINO DC INC

Practice address

1133 S Military TRL
Deerfield Beach, FL 33442-7645

Phone

(954) 571-9555

Fax

(954) 571-9692

NPI assigned

Jul 15, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Richard Pellegrino, D.C.NPI 1790880193

Title

Owner

Phone

(954) 600-4655

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard D. Pellegrino, D.C.

  • Chiropractor
  • Deerfield BCH, FL
  • NPI 1790880193
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1457792731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 S MILITARY TRL",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334427645",
            "telephone_number": "954-571-9555",
            "fax_number": "954-571-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 S MILITARY TRL",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334427645",
            "telephone_number": "954-571-9555",
            "fax_number": "954-571-9692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3836 W Hillsboro Blvd",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334429413",
            "country_code": "US",
            "telephone_number": "954-600-4655",
            "fax_number": "954-421-6455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RICHARD PELLEGRINO DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PELLEGRINO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-600-4655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "CH9109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Natalie Riano, RBT
• Luis Ricardo
• Diana S Rice, LMHC
• Leneice Rice
• Peter Richa, DO
• Richard Valdes, O.D., P.a.
• Annadette Richard
• Abriella Richards
• Caitlin S Richards
• Joy R Richards, CNA

• Preferred Provider Organization in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Preferred Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.