Active NPI
Thomas Patrick Marcuzzo, D.C.
- Chiropractor
- Omaha, NE
National Provider Identifier
1760493688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1171
- Practice address
- 18017 Oak St Ste a
Omaha, NE 68130-6093 - Phone
- (402) 963-9401
- Fax
- (402) 963-9501
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1171 | NE | Primary |
Addresses
Primary practice location
18017 Oak St Ste a
Omaha, NE 68130-6093
Mailing address
18017 Oak St Ste a
Omaha, NE 68130-6093
Phone (402) 963-9401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91179363300 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438041600000",
"number": "1760493688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18017 OAK ST STE A",
"city": "OMAHA",
"state": "NE",
"postal_code": "681306093",
"telephone_number": "402-963-9401",
"fax_number": "402-963-9501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18017 OAK ST STE A",
"city": "OMAHA",
"state": "NE",
"postal_code": "681306093",
"telephone_number": "402-963-9401",
"fax_number": "402-963-9501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCUZZO",
"first_name": "THOMAS",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2015-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "1171",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "91179363300",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.