Active NPI
Michael Louis Viscarelli, D.C.
- Chiropractor
- Arvada, CO
National Provider Identifier
1811267669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHR-6800
- Practice address
- 7450 W 52ND Ave # 332
Arvada, CO 80002-3747 - Phone
- (970) 497-9080
- NPI assigned
- Jan 11, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | CHR-6800 | CO | Primary |
Addresses
Primary practice location
7450 W 52ND Ave # 332
Arvada, CO 80002-3747
Mailing address
7450 W 52ND Ave # 332
Arvada, CO 80002-3747
Phone (970) 497-9080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120912000033 | CO | Practitioner - Chiropractic | 7416105739 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Adio Health Centers
Practice addresses (Care Compare)
17120 W Colfax Ave
Suite 118
Golden, CO 80401-5601
Phone (720) 708-4925
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHR-6800 | CO | MD | Chiropractor |
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": "1326240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1811267669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7450 W 52ND AVE # 332",
"city": "ARVADA",
"state": "CO",
"postal_code": "800023747",
"telephone_number": "970-497-9080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7450 W 52ND AVE # 332",
"city": "ARVADA",
"state": "CO",
"postal_code": "800023747",
"telephone_number": "970-497-9080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VISCARELLI",
"first_name": "MICHAEL",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-11",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "CHR-6800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.