Individual provider Active NPI

Greg Pizzolato, D.C.

  • Chiropractor
  • Houma, LA
National Provider Identifier
1972553279
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC1112 Issued in LA
Practice address
6902 W Main St
Houma, LA 70360-2455
Phone
(985) 868-3136
Fax
(985) 868-4040
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC1112 LA Primary

Addresses

Primary practice location

6902 W Main St
Houma, LA 70360-2455

Mailing address

6902 W Main St
Houma, LA 70360-2455
Phone (985) 868-3136

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080716000126 LA Practitioner - Chiropractic 5799858346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1997
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

6902 W Main St
Houma, LA 70360-2455
Phone (985) 868-3136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1112LAMDCounseling Psychologist
DC1112LAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Flynn Manceaux a Professional Chiropractic and Physical Therapy Co Chiropractor CurrentSince May 1, 2008 Accepting new patients
Doctors Flynn Manceaux Arcement Pizzolato of Thibodaux a Professional Chiropractor PastSince Apr 30, 2003 Accepting new patients

Locations

6902 W Main St
Houma, LA 70360
Phone (985) 868-3136

Organizations & group practices 2

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1972553279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6902 W MAIN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602455",
            "telephone_number": "985-868-3136",
            "fax_number": "985-868-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6902 W MAIN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602455",
            "telephone_number": "985-868-3136",
            "fax_number": "985-868-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZZOLATO",
        "first_name": "GREG",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "DC1112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.