Active NPI
Michael Piccirillo, D.C.
- Sports Physician Chiropractor
- Miami, FL
National Provider Identifier
1639624919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- CH11903
- Practice address
- 2390 NE 186TH St
Miami, FL 33180-2907 - Phone
- (305) 932-2202
- Fax
- (754) 206-1958
- NPI assigned
- Aug 17, 2016
- 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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | CH11903 | FL | Primary |
Addresses
Primary practice location
2390 NE 186TH St
Miami, FL 33180-2907
Mailing address
1600 S Federal Hwy Ste 451
Pompano Beach, FL 33062-7525
Phone (754) 205-6865
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
| License | State | Type | Specialty |
|---|---|---|---|
| CH11903 | FL | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552262400000",
"number": "1639624919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 S FEDERAL HWY STE 451",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330627525",
"telephone_number": "754-205-6865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2390 NE 186TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331802907",
"telephone_number": "305-932-2202",
"fax_number": "754-206-1958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICCIRILLO",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-17",
"last_updated": "2019-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "FL",
"license": "CH11903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.