Nicolo Montecalvo, DC
Individual provider Active NPI Chiropractor · Orofino, ID
NPI 1851481287 · NPPES record last updated Jan 16, 2020
Key facts
- NPI
- 1851481287
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CHIA-1906 (ID)
- Practice address
- 10620 Highway 12
Orofino, ID 83544-9372 - Phone
- (208) 476-3158
- NPI assigned
- Oct 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA-1906 | ID | MD | Chiropractor |
| 4600 | KY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Discover Chiropractic Group PLLC | Chiropractor | Current |
Accepting new patients |
Locations
10620 Highway 12
Orofino, ID 83544
Phone (208) 476-3158
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA-1906 | ID | Yes |
Addresses
Primary practice location
10620 Highway 12
Orofino, ID 83544-9372
Mailing address
10620 Highway 12
Orofino, ID 83544-9372
Phone (208) 476-3158
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85001709 | Medicaid | KY |
Other providers in Orofino, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.