Active NPI
Ryan Emmanuel Spicuzzo, DC
- Chiropractor
- Deerfield Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH10306
- Practice address
- 100 S Military TRL Ste 33
Deerfield Beach, FL 33442-3032 - Phone
- (954) 570-4080
- Fax
- (954) 697-0497
- NPI assigned
- Dec 28, 2010
- Last updated
- Oct 9, 2023
- 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 | CH10306 | FL | Primary |
Addresses
Primary practice location
100 S Military TRL Ste 33
Deerfield Beach, FL 33442-3032
Mailing address
2125 Park PL
Boca Raton, FL 33486-3132
Phone (561) 797-5132
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
- Life Chiropractic College, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
100 S Military TR
Suite 18
Deerfield Beach, FL 33442-3031
100 S Military TRL
Suite 18
Deerfield Beach, FL 33442-3031
Phone (954) 570-4080
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009396 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spicuzzo Chiropractic, LLC | Current | Accepting new patients | |
| Lance Wald DC PA | Chiropractor | Past | Accepting new patients |
| Quartell Chiropractic | Chiropractor | Past | Accepting new patients |
| Pga Medical Center, Inc. | Chiropractor | Past | Accepting new patients |
Locations
100 S Military Trl
Ste 18
Deerfield Beach, FL 33442
Phone (954) 570-4080
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Deerfield Health and Wellness Center
- Medical Specialty Clinic/Center
- Deerfield Beach, FL
- NPI 1245655208
-
- Chiropractor
- Deerfield Beach, FL
- NPI 1649526179
-
- Internal Medicine Physician
- Palm Beach Gardens, FL
- NPI 1770802175
Chiropractor
-
- Chiropractor
- Palm Beach Gardens, FL
- NPI 1659363547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1548564982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2125 PARK PL",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334863132",
"telephone_number": "561-797-5132",
"fax_number": "954-697-0497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S MILITARY TRL STE 33",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334423032",
"telephone_number": "954-570-4080",
"fax_number": "954-697-0497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPICUZZO",
"first_name": "RYAN",
"middle_name": "EMMANUEL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-28",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH10306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deerfield Beach, FL
- Specialty Retina Center LLC
- Specialty Vision Care LLC
- Spector Scientific Lab Inc.
- Susan Spenadel
- Spicuzzo Chiropractic, LLC (Deerfield Health and Wellness Center)
- Spine and Joint Center of Deerfield Beach
- Spine and Joint Pain Relief LLC
- Spine Orthopedic Associates
- Carolyn Spinner
- Henry Michael Spira, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.