Active NPI
Dr. Luciano Giovannucci P.C.
- Chiropractor
- Allegan, MI
National Provider Identifier
1689841587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301007903
- Legal business name
- DR. LUCIANO GIOVANNUCCI P.C.
- Practice address
- 880 Marshall St Ste a
Allegan, MI 49010-1690 - Phone
- (269) 673-6106
- Fax
- (269) 673-1828
- NPI assigned
- May 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Luciano Giovannucci, D.C.
- Title
- President
- Phone
- (269) 673-6106
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301007903 | MI | Primary |
Addresses
Primary practice location
880 Marshall St Ste a
Allegan, MI 49010-1690
Mailing address
880 Marshall St Ste a
Allegan, MI 49010-1690
Phone (269) 673-6106
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ON30680 | Other | MI | MEDICARE ID |
Other names 1
- Riverfront Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
880 Marshall St
Ste A
Allegan, MI 49010
Phone (269) 673-6106
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Allegan, MI
- NPI 1578603536
-
- Chiropractor
- Hopkins, MI
- NPI 1801138854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1501977600000",
"number": "1689841587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 MARSHALL ST STE A",
"city": "ALLEGAN",
"state": "MI",
"postal_code": "490101690",
"telephone_number": "269-673-6106",
"fax_number": "269-673-1828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 MARSHALL ST STE A",
"city": "ALLEGAN",
"state": "MI",
"postal_code": "490101690",
"telephone_number": "269-673-6106",
"fax_number": "269-673-1828"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. LUCIANO GIOVANNUCCI P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-11",
"last_updated": "2017-08-06",
"status": "A",
"authorized_official_last_name": "GIOVANNUCCI",
"authorized_official_first_name": "LUCIANO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "269-673-6106",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MI",
"license": "2301007903",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "ON30680",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Riverfront Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Allegan, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2017; 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.