Individual provider Active NPI

Enrico A Dolcecore, DC

  • Chiropractor
  • Lutz, FL
National Provider Identifier
1912429648
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11870 Issued in FL
Practice address
21754 State Road 54 Ste 101
Lutz, FL 33549-6901
Phone
(813) 607-0474
Fax
(813) 428-5648
NPI assigned
Jul 14, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH11870 FL Primary

Addresses

Primary practice location

21754 State Road 54 Ste 101
Lutz, FL 33549-6901

Mailing address

21754 State Road 54 Ste 101
Lutz, FL 33549-6901
Phone (813) 428-5648

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180214000302 FL Practitioner - Chiropractic 4789944612 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiros on 54 LLCGroup PAC ID 8224373352, 2 clinicians

Practice addresses (Care Compare)

21754 State Rd
54 Suite 101
Lutz, FL 33549-6901
Phone (813) 428-5648

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chiros Winter Haven LLC Chiropractor CurrentSince Sep 7, 2024 Accepting new patients
Chiros on 54 LLC Chiropractor CurrentSince Jun 12, 2018 Accepting new patients
Chiros Winter Haven LLC Chiropractor Current Accepting new patients

Locations

21754 State Road 54
Ste 101
Lutz, FL 33549
Phone (813) 428-5648

1003 Dale Mabry Hwy
Lutz, FL 33548
Phone (813) 304-3834

301 3rd St NW
Ste 204
Winter Haven, FL 33881
Phone (863) 268-6552

151 1st St S
Ste A
Winter Haven, FL 33880
Phone (863) 268-6552

Organizations & group practices 3

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": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1912429648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21754 STATE ROAD 54 STE 101",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335496901",
            "telephone_number": "813-428-5648",
            "fax_number": "813-501-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21754 STATE ROAD 54 STE 101",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335496901",
            "telephone_number": "813-607-0474",
            "fax_number": "813-428-5648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLCECORE",
        "first_name": "ENRICO",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-14",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.