Individual provider Active NPI

Michael Tucciarone, D.C.

  • Chiropractor
  • Clinton, NY
National Provider Identifier
1558346452
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X004066-1 Issued in NY
Practice address
54 Dwight Ave
Clinton, NY 13323-1604
Phone
(315) 853-6225
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X004066-1 NY Primary

Addresses

Primary practice location

54 Dwight Ave
Clinton, NY 13323-1604

Mailing address

54 Dwight Avenue
Clinton, NY 13323
Phone (315) 853-6225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X004066-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Tucciarone D.C. Chiropractor PastSince Jan 1, 1990 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: associated_chiropractic@hiemail.healtheconnections.org
  • Direct secure messaging: mtucciarone@hiemail.healtheconnections.org

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1558346452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 DWIGHT AVENUE",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "13323",
            "telephone_number": "315-853-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 DWIGHT AVE",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133231604",
            "telephone_number": "315-853-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCCIARONE",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X004066-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.