Active NPI
Marco Joseph La Starza, D.C.
- Chiropractor
- Rockledge, FL
National Provider Identifier
1487870853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH9013
- Practice address
- 1027 Pathfinder Way
Suite 110 a
Rockledge, FL 32955-3267 - Phone
- (407) 970-7513
- NPI assigned
- Apr 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH9013 | FL | Primary |
Addresses
Primary practice location
1027 Pathfinder Way
Suite 110 a
Rockledge, FL 32955-3267
Mailing address
PO Box 5689
Titusville, FL 32783-5689
Phone (407) 970-7513
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
355 Pineda Court
Suite 106
Melbourne, FL 32940
Phone (321) 230-7071
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH9013 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Starza Inc | Chiropractor | Current | Accepting new patients |
| Mayala Corp | Chiropractor | Past | Accepting new patients |
Locations
355 Pineda CT
106
FL 32940
355 Pineda CT
106
Melbourne, FL 32940
Phone (321) 230-7071
1027 Pathfinder Way
Ste 110
Rockledge, FL 32955
Phone (321) 300-7117
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": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249344000000",
"number": "1487870853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5689",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327835689",
"telephone_number": "407-970-7513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1027 PATHFINDER WAY",
"address_2": "SUITE 110 A",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329553267",
"telephone_number": "407-970-7513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LA STARZA",
"first_name": "MARCO",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2009-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH9013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.