Robert J. Indelicato DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ROBERT J. INDELICATO DC

Practice address

407 6TH Ave E
Bradenton, FL 34208-1927

Phone

(941) 746-2612

Fax

(941) 746-2789

NPI assigned

Dec 20, 2018

Organization subpart

No

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

Authorized official

Name

Robert J Indelicato, DCNPI 1295872463

Title

Owner

Phone

(941) 746-2612

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• INDELICATO FAMILY CHIROPRACTIC & WELLNESS Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert J Indelicato, DC

  • Chiropractor
  • Bradenton, FL
  • NPI 1295872463
  NPD Authorized official
• Nicole Mari Santana Rodriguez, DC

  • Chiropractor
  • Bradenton, FL
  • NPI 1083100309
  NPD (past)

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1700358397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 6TH AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081927",
            "telephone_number": "941-746-2612",
            "fax_number": "941-746-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 6TH AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081927",
            "telephone_number": "941-746-2612",
            "fax_number": "941-746-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. INDELICATO DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-20",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "INDELICATO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-746-2612",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609196260",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381843800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801804919",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INDELICATO FAMILY CHIROPRACTIC & WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "INDELICATO FAMILY CHIROPRACTIC & WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennie Lynne Robb, PH.D.
• Robert a Stipanov DDS PA
• Robert B. Koser, M.D.P.a.
• Robert C Sanford Arnp PL
• Robert J Bellino M D P a
• Ann Bridget Roberts, RN
• Jamie Ann Roberts, ARNP
• Sarah Roberts
• Emily Lynne Robertson, PHD
• Walter Robey

• Chiropractor in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.