Active NPI
Paul Robert Pirruccello, D.C.
- Orthopedic Chiropractor
- Reno, NV
National Provider Identifier
1598747644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- B282
- 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
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 |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040824001253 | NV | Practitioner - Chiropractic | 9931173952 | Practice locations: Reno, NV |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B282 | NV | MD | Orthopedic 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.