Individual provider Active NPI

Richard Joseph Bocco, D.C.

  • Chiropractor
  • Casselberry, FL
National Provider Identifier
1871663807
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH5950 Issued in FL
Practice address
172 Sausalito Blvd
Casselberry, FL 32707-5764
Phone
(407) 831-4357
Fax
(407) 650-3154
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH5950 FL Primary

Addresses

Primary practice location

172 Sausalito Blvd
Casselberry, FL 32707-5764

Mailing address

172 Sausalito Blvd
Casselberry, FL 32707-5764
Phone (407) 831-4357

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070709000340 FL Practitioner - Chiropractic 6204831746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

172 Sausalito Blvd
Casselberry, FL 32707-5764

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH5950FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Seminole Wellness & Injury Center Chiropractor CurrentSince Mar 14, 2019 Accepting new patients

Locations

172 Sausalito Blvd
Casselberry, FL 32707
Phone (407) 831-4357

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871663807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 SAUSALITO BLVD",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075764",
            "telephone_number": "407-831-4357",
            "fax_number": "407-650-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 SAUSALITO BLVD",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075764",
            "telephone_number": "407-831-4357",
            "fax_number": "407-650-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCCO",
        "first_name": "RICHARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.