Individual provider Active NPI

John Lawrence Ciotti Jr., D.C.

  • Chiropractor
  • Sarasota, FL
National Provider Identifier
1467543231
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11197 Issued in FL
Practice address
205 Montgomery Ave
Sarasota, FL 34243-1500
Phone
(941) 259-4544
Fax
(941) 822-8016
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 11197 FL Primary

Addresses

Primary practice location

205 Montgomery Ave
Sarasota, FL 34243-1500

Mailing address

512 Gunwale LN
Longboat Key, FL 34228-3710
Phone (228) 327-7801

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190214001629 FL Practitioner - Chiropractic 1052333515 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
11197FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Wellness Center LLC Chiropractor CurrentSince Aug 21, 2018 Accepting new patients

Locations

528 48th Street Ct E
Bradenton, FL 34208
Phone (941) 259-4544

7425 N Tamiami Trl
Sarasota, FL 34243
Phone (941) 351-3466

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1467543231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 GUNWALE LN",
            "city": "LONGBOAT KEY",
            "state": "FL",
            "postal_code": "342283710",
            "telephone_number": "228-327-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MONTGOMERY AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342431500",
            "telephone_number": "941-259-4544",
            "fax_number": "941-822-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIOTTI",
        "first_name": "JOHN",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "11197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.