Active NPI
Placido Nicdao II, D.C.
- Chiropractor
- Tamuning, GU
National Provider Identifier
1851672539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- C37
- 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, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR008840 | GA | MD | Chiropractor |
| C37 | GU | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicdao Chiropractic L.L.C. | Chiropractor | Past | 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.
-
- Chiropractor
- Cumming, GA
- NPI 1316221575
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.