Individual provider Active NPI

James Joseph Pichotta, D.C.

  • Chiropractor
  • Madison, WI
National Provider Identifier
1659570513
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4294-012 Issued in WI
Practice address
648 S Gammon Rd
Madison, WI 53719-1370
Phone
(608) 441-3455
NPI assigned
Jul 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 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 4294-012 WI Primary

Addresses

Primary practice location

648 S Gammon Rd
Madison, WI 53719-1370

Mailing address

648 S Gammon Rd
Madison, WI 53719-1370

Other identifiers 1

IdentifierTypeStateIssuer
38977800MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070906000130 WI Practitioner - Chiropractic 6204929318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Arc of Life Medical Center LLCGroup PAC ID 6406942994, 3 clinicians

Practice addresses (Care Compare)

648 S Gammon Rd
Madison, WI 53719-1370
Phone (608) 441-3455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4294-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Arc of Life Medical Center LLC Chiropractor CurrentSince Sep 24, 2010 Accepting new patients

Locations

648 S Gammon Rd
Madison, WI 53719
Phone (608) 441-3455

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1659570513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 S GAMMON RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 S GAMMON RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191370",
            "telephone_number": "608-441-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICHOTTA",
        "first_name": "JAMES",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4294-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38977800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.