Individual provider Active NPI

Luciano Giovannucci, D.C.

  • Chiropractor
  • Allegan, MI
National Provider Identifier
1578603536
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007903 Issued in MI
Practice address
880 Marshall St
Suite a
Allegan, MI 49010-1690
Phone
(269) 673-6106
Fax
(269) 673-1828
NPI assigned
Feb 7, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301007903 MI Primary

Addresses

Primary practice location

880 Marshall St
Suite a
Allegan, MI 49010-1690

Mailing address

880 Marshall St
Suite a
Allegan, MI 49010-1690
Phone (269) 673-6106

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040407000796 MI Practitioner - Chiropractic 5799778452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

880 Marshall St
Suite a
Allegan, MI 49010-1690
Phone (269) 673-6106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Luciano Giovannucci P.C. Chiropractor CurrentSince Aug 1, 2001 Accepting new patients

Locations

880 Marshall St
Ste A
Allegan, MI 49010
Phone (269) 673-6106

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578603536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 MARSHALL ST",
            "address_2": "SUITE A",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490101690",
            "telephone_number": "269-673-6106",
            "fax_number": "269-673-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 MARSHALL ST",
            "address_2": "SUITE A",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490101690",
            "telephone_number": "269-673-6106",
            "fax_number": "269-673-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIOVANNUCCI",
        "first_name": "LUCIANO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allegan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.