Individual provider Active NPI

Angela Toni Ricciulli, D.C.

  • Chiropractor
  • Niles, OH
National Provider Identifier
1821110420
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3420 Issued in OH
Practice address
1250 Youngstown Warren Rd BLDG 1
Niles, OH 44446-4649
Phone
(330) 652-4978
Fax
(330) 652-4994
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 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 3420 OH Primary

Addresses

Primary practice location

1250 Youngstown Warren Rd BLDG 1
Niles, OH 44446-4649

Mailing address

1856 N Carnegie Ave
Niles, OH 44446-4128
Phone (330) 652-4978

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pompeo Chiropractic Chiropractor PastSince Sep 20, 2022 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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1821110420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1856 N CARNEGIE AVE",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444464128",
            "telephone_number": "330-652-4978",
            "fax_number": "330-652-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 YOUNGSTOWN WARREN RD BLDG 1",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444464649",
            "telephone_number": "330-652-4978",
            "fax_number": "330-652-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCIULLI",
        "first_name": "ANGELA",
        "middle_name": "TONI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.