Active NPI
Joseph Criscuola, D.C.
- Chiropractor
- Wake Forest, NC
National Provider Identifier
1831217363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3684
- Practice address
- 2824 Rogers Rd
Suite 204
Wake Forest, NC 27587-3895 - Phone
- (919) 453-0367
- NPI assigned
- Mar 26, 2007
- 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 | 3684 | NC | Primary |
Addresses
Primary practice location
2824 Rogers Rd
Suite 204
Wake Forest, NC 27587-3895
Mailing address
2824 Rogers Rd
Suite 204
Wake Forest, NC 27587-3895
Phone (919) 453-0367
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070926000877 | NC | Practitioner - Chiropractic | 3072608702 | Practice locations: Wake Forest, NC |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3684 | NC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kim R. Melton, DDS, PHD, P.a. | Past | Accepting new patients | |
| Lane and Associates LV DDS PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Heritage Aesthetic Dentistry
- Dentist
- Wake Forest, NC
- NPI 1679788202
-
- General Practice Dentistry
- Wake Forest, NC
- NPI 1366259723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315267200000",
"number": "1831217363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2824 ROGERS RD",
"address_2": "SUITE 204",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275873895",
"telephone_number": "919-453-0367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2824 ROGERS RD",
"address_2": "SUITE 204",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275873895",
"telephone_number": "919-453-0367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISCUOLA",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2011-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "3684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.