Dutch Greyson D'Amico, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH14182 Issued in FL

Practice address

2201 62ND Ave N
St Petersburg, FL 33702-5660

Phone

(727) 528-8700

Fax

(727) 528-8585

NPI assigned

Aug 25, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

G Stanford Pierce DC PAGroup PAC ID 3072619386, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• G Stanford Pierce DC PA

  • Chiropractor
  • St Petersburg, FL
  • NPI 1679675607
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1891414587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 62ND AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337025660",
            "telephone_number": "727-528-8700",
            "fax_number": "727-528-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 62ND AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337025660",
            "telephone_number": "727-528-8700",
            "fax_number": "727-528-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AMICO",
        "first_name": "DUTCH",
        "middle_name": "GREYSON",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Czack
• D & M Non-Emergency Transport Service LLC
• D Scott Shettle OD PA
• D. Funsch, M.D. Medical Care, PLLC
• Steven Anthony D'Agostino
• Tiffany Lynn D'Angelo, DNP, APRN, FNP-BC
• Crystal Dawn D'Auria
• Joyce Da Silva Toledo
• Dennis Daake, M.D.
• Brena Daffron

• Chiropractor in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.