Individual provider Active NPI

Rico Joseph Forlano, DC

  • Chiropractor
  • Eldorado, TX
National Provider Identifier
1669582946
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
TXDC5447 Issued in TX
Practice address
418 Hwy 277 South
Eldorado, TX 76936-0633
Phone
(325) 853-3331
Fax
(325) 853-3339
NPI assigned
Aug 30, 2006
Last updated
Jul 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X TXDC5447 TX Primary

Addresses

Primary practice location

418 Hwy 277 South
Eldorado, TX 76936-0633

Mailing address

PO Box 633
Eldorado, TX 76936-0633
Phone (325) 853-3331

Other identifiers 1

IdentifierTypeStateIssuer
001577801MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100818000647 TX Practitioner - Chiropractic 5698809283 Practice locations: Eldorado, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

418 S Divide
Eldorado, TX 76936-0633

P O Box
Eldorado, TX 76936-0633

PO Box
Suite 633
Eldorado, TX 76936-0633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TXDC5447TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1669582946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 633",
            "city": "ELDORADO",
            "state": "TX",
            "postal_code": "769360633",
            "telephone_number": "325-853-3331",
            "fax_number": "325-853-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 HWY 277 SOUTH",
            "city": "ELDORADO",
            "state": "TX",
            "postal_code": "769360633",
            "telephone_number": "325-853-3331",
            "fax_number": "325-853-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORLANO",
        "first_name": "RICO",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "TXDC5447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001577801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldorado, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.