Active NPI
Rocky Vannucci, D.C.
- Chiropractor
- Sheridan, AR
National Provider Identifier
1871544296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1042
- Practice address
- 401 N Rock St
Sheridan, AR 72150-2227 - Phone
- (870) 942-4646
- NPI assigned
- May 12, 2006
- 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 | 1042 | AR | Primary |
Addresses
Primary practice location
401 N Rock St
Sheridan, AR 72150-2227
Mailing address
401 N Rock St
Sheridan, AR 72150-2227
Phone (870) 942-4646
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4420017 | Other | AR | UNITED HEALTHCARE |
| 350008095 | Other | AR | RAILROAD MEDICARE |
| 5362237 | Other | AR | AETNA |
| CP43510 | Other | AR | UNION PACIFIC RAILROAD |
| 59926 | Other | AR | BLUE CROSS BLUE SHIELD |
| 110468718 | Medicaid | AR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1042 | AR | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339113600000",
"number": "1871544296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 N ROCK ST",
"city": "SHERIDAN",
"state": "AR",
"postal_code": "721502227",
"telephone_number": "870-942-4646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 N ROCK ST",
"city": "SHERIDAN",
"state": "AR",
"postal_code": "721502227",
"telephone_number": "870-942-4646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANNUCCI",
"first_name": "ROCKY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2012-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AR",
"license": "1042",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "4420017",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "350008095",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5362237",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNION PACIFIC RAILROAD",
"identifier": "CP43510",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "59926",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110468718",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sheridan, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.