Gary Charles Trupo, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

F1-0000786 Issued in DE

Practice address

1092 S Ponce de Leon Blvd Ste K
St Augustine, FL 32084-6018

Phone

(904) 460-2923

NPI assigned

May 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1994

Medicare assignment

May accept Medicare assignment

Group practices

Beckerton Chiropractic PLLCGroup PAC ID 7810265394, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Beckerton Chiropractic PLLC

  dba Fernandina Chiropractic Center

  • Chiropractor
  • Yulee, FL
  • NPI 1770018467
  Medicare reassignment Care Compare group NPD
• Chiro & Laser St. Augustine, PLLC

  • Health Service Clinic/Center
  • St Augustine, FL
  • NPI 1578204459
  NPD
• Jason Walter Winseck Cascades Chiropractic

  • Chiropractor
  • Sterling, VA
  • NPI 1114080124
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1942422126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19470 COASTAL HWY UNIT 3",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199716127",
            "telephone_number": "302-226-1234",
            "fax_number": "302-226-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1092 S PONCE DE LEON BLVD STE K",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320846018",
            "telephone_number": "904-460-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUPO",
        "first_name": "GARY",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001342",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "02183",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10142",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0000786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4579059",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.