Individual provider Active NPI

Paul Robert Pirruccello, D.C.

  • Orthopedic Chiropractor
  • Reno, NV
National Provider Identifier
1598747644
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
B282 Issued in NV
Practice address
3670 Grant Dr
Suite 101
Reno, NV 89509-5309
Phone
(775) 852-3333
Fax
(775) 322-0606
NPI assigned
Nov 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X B282 NV Primary

Addresses

Primary practice location

3670 Grant Dr
Suite 101
Reno, NV 89509-5309

Mailing address

3670 Grant Dr
Suite 101
Reno, NV 89509-5309
Phone (775) 852-3333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040824001253 NV Practitioner - Chiropractic 9931173952 Practice locations: Reno, NV

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
B282NVMDOrthopedic Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1598747644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 GRANT DR",
            "address_2": "SUITE 101",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095309",
            "telephone_number": "775-852-3333",
            "fax_number": "775-322-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 GRANT DR",
            "address_2": "SUITE 101",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095309",
            "telephone_number": "775-852-3333",
            "fax_number": "775-322-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIRRUCCELLO",
        "first_name": "PAUL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "NV",
            "license": "B282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.