Individual provider Active NPI

Nicholas W. Belletto, D.C.

  • Chiropractor
  • Tallahassee, FL
National Provider Identifier
1659497006
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9082 Issued in FL
Practice address
1224 Ocala Rd
Tallahassee, FL 32304-1548
Phone
(850) 576-2129
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9082 FL Primary

Addresses

Primary practice location

1224 Ocala Rd
Tallahassee, FL 32304-1548

Mailing address

1224 Ocala Rd
Tallahassee, FL 32304-1548
Phone (850) 576-2129

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090727000168 FL Practitioner - Chiropractic 4284787169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1224 Ocala Rd
Tallahassee, FL 32304-1548
Phone (386) 627-6226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH9082FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nicholas W. Belletto D.C. P.a. Chiropractor CurrentSince May 11, 2009 Accepting new patients
University Physical Medicine Inc CurrentSince Jan 21, 2013 Accepting new patients
Nicholas W. Belletto, DC PA Chiropractor Past Accepting new patients

Locations

1224 Ocala Rd
Tallahassee, FL 32304
Phone (386) 627-6226

Organizations & group practices 3

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1659497006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 OCALA RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323041548",
            "telephone_number": "850-576-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 OCALA RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323041548",
            "telephone_number": "850-576-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLETTO",
        "first_name": "NICHOLAS",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.