Individual provider Active NPI

Liesa Annette Cargioli, D.C.

  • Chiropractor
  • Fishers, IN
National Provider Identifier
1760607352
Registry record updated Jul 8, 2007
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(14) exclusion effective Apr 19, 2018.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08000962 Issued in IN
Practice address
12987 Parkside Dr
Fishers, IN 46038-3864
Phone
(317) 585-9410
Fax
(317) 585-9411
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08000962 IN Primary

Addresses

Primary practice location

12987 Parkside Dr
Fishers, IN 46038-3864

Mailing address

12987 Parkside Dr
Fishers, IN 46038-3864
Phone (317) 585-9410

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
08000962INMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
NHHC, Inc Chiropractor Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760607352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12987 PARKSIDE DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460383864",
            "telephone_number": "317-585-9410",
            "fax_number": "317-585-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12987 PARKSIDE DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460383864",
            "telephone_number": "317-585-9410",
            "fax_number": "317-585-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARGIOLI",
        "first_name": "LIESA",
        "middle_name": "ANNETTE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08000962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.