Individual provider Active NPI

David H Pico, DC

  • Chiropractor
  • Nyc, NY
National Provider Identifier
1841596053
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X007730 Issued in NY
Practice address
162 W 56 St #302
Nyc, NY 10019
Phone
(212) 765-1333
Fax
(212) 765-1199
NPI assigned
Nov 14, 2006
Reactivated
Feb 4, 2011
Last updated
Feb 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X007730 NY Primary
Chiropractor 111N00000X 4433 NJ

Addresses

Primary practice location

162 W 56 St #302
Nyc, NY 10019

Mailing address

250 Pascack Rd
Hillsdale, NJ 07642
Phone (201) 263-1882

Other identifiers 3

IdentifierTypeStateIssuer
P650451OtherOXFORD
0839192OtherAETNA
X10541OtherEMPIRE

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

State licenses

LicenseStateTypeSpecialty
4433NJMDChiropractor
X007730NYMDChiropractor
007730NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pico Family Chiropractic PC Chiropractor Past Accepting new patients
In Touch Nyc Physical Therapy PC PastSince Dec 1, 2015 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296777600000",
    "number": "1841596053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PASCACK RD",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "07642",
            "telephone_number": "201-263-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 W 56 ST #302",
            "city": "NYC",
            "state": "NY",
            "postal_code": "10019",
            "telephone_number": "212-765-1333",
            "fax_number": "212-765-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "replacement_npi": "1841596053",
        "last_name": "PICO",
        "first_name": "DAVID",
        "middle_name": "H",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2011-02-04",
        "deactivation_date": "2011-01-31",
        "reactivation_date": "2011-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007730",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "4433",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P650451",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0839192",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE",
            "identifier": "X10541",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nyc, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.