Organization Active NPI

Tricoche Family Chiropractic Inc.

  • Chiropractor
  • Melbourne, FL
National Provider Identifier
1497031736
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10086 Issued in FL
Legal business name
TRICOCHE FAMILY CHIROPRACTIC INC.
Practice address
1710 Bryan St
Melbourne, FL 32901-4412
Phone
(386) 562-0188
Fax
(321) 768-8726
NPI assigned
Nov 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Authorized official

Name
Dr. Victor Daniel Tricoche, D.C., M.S.NPI 1447548292
Title
President
Phone
(386) 562-0188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH10086 FL Primary

Addresses

Primary practice location

1710 Bryan St
Melbourne, FL 32901-4412

Mailing address

1710 Bryan St
Melbourne, FL 32901-4412
Phone (386) 562-0188

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111103000245 FL Part B Supplier - Clinic/Group Practice 6608049861 Receives reassigned benefits from 1 practitioner
Practice locations: Melbourne, FL

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1497031736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 BRYAN ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014412",
            "telephone_number": "386-562-0188",
            "fax_number": "321-768-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 BRYAN ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014412",
            "telephone_number": "386-562-0188",
            "fax_number": "321-768-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICOCHE FAMILY CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "TRICOCHE",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-562-0188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., M.S."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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 Nov 1, 2011; 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.