Individual provider Active NPI

Placido Nicdao II, D.C.

  • Chiropractor
  • Tamuning, GU
National Provider Identifier
1851672539
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
C37 Issued in GU
Practice address
643 Chalan San Antonio
Ste 101
Tamuning, GU 96913-3644
Phone
(671) 472-2225
Fax
(671) 472-4476
NPI assigned
Sep 8, 2011
Last updated
Jan 5, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008840 GA
Chiropractor 111N00000X C37 GU Primary

Addresses

Primary practice location

643 Chalan San Antonio
Ste 101
Tamuning, GU 96913-3644

Mailing address

643 Chalan San Antonio
Ste 101
Tamuning, GU 96913-3644
Phone (671) 472-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150619000232 GU Practitioner - Chiropractic 3577874411 Practice locations: Tamuning, GU

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

643 Chalan San Antonio
Suite 101
Tamuning, GU 96913-3644
Phone (671) 472-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR008840GAMDChiropractor
C37GUMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nicdao Chiropractic L.L.C. Chiropractor PastSince Oct 1, 2011 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, 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": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1851672539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 CHALAN SAN ANTONIO",
            "address_2": "STE 101",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133644",
            "telephone_number": "671-472-2225",
            "fax_number": "671-472-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 CHALAN SAN ANTONIO",
            "address_2": "STE 101",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133644",
            "telephone_number": "671-472-2225",
            "fax_number": "671-472-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICDAO",
        "first_name": "PLACIDO",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-08",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008840",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GU",
            "license": "C37",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamuning, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.

Verify at the official NPI Registry.