Individual provider Active NPI

Palmer Rey Piana, DC

  • Chiropractor
  • Estero, FL
National Provider Identifier
1477242543
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14338 Issued in FL
Practice address
19441 The Place Blvd
Estero, FL 33928-6586
Phone
(860) 733-3696
NPI assigned
May 4, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH14338 FL Primary

Addresses

Primary practice location

19441 The Place Blvd
Estero, FL 33928-6586

Mailing address

19441 The Place Blvd
Estero, FL 33928-6586
Phone (860) 733-3696

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250128001272 TN Practitioner - Chiropractic 6901335595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1921 Nashville Pike
Suite 500
Gallatin, TN 37066-5262
Phone (615) 219-9912

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH14338FLMDChiropractor
3750TNMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Charge Chiropractic LLC Chiropractor CurrentSince Oct 1, 2023 Accepting new patients

Locations

1921 Nashville Pike
Ste 500
Gallatin, TN 37066
Phone (615) 219-9912

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": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1477242543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19441 THE PLACE BLVD",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339286586",
            "telephone_number": "860-733-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19441 THE PLACE BLVD",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339286586",
            "telephone_number": "860-733-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIANA",
        "first_name": "PALMER",
        "middle_name": "REY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Estero, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.