Keith D Curcillo, D,C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

20558 Issued in CA

Practice address

4132 Katella Ave Ste 205B
Los Alamitos, CA 90720-6602

Phone

(562) 833-3686

Fax

(562) 799-1715

NPI assigned

Sep 20, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1689925349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 KATELLA AVE STE 205B",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907206602",
            "telephone_number": "562-833-3686",
            "fax_number": "562-799-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4132 KATELLA AVE STE 205B",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907206602",
            "telephone_number": "562-833-3686",
            "fax_number": "562-799-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURCILLO",
        "first_name": "KEITH",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D,C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "20558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shana Michelle Craig
• Carol Ann Crawford, NP
• Amy Butler Crevino
• CT Medical, Inc
• Ctr Medical Enterprises, Inc
• Sarah Rose Curry
• Mario Curti, M.D.
• Tyson O Curtis, DDS
• Custom Compounding Centers LLC (Custom Compounding Centers)
• Cynthia W Chao D O a Professional Corporation

• Chiropractor in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.