MEDICARE: PELLE CHIROPRACTIC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1306798640
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PELLE CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	2436 E DOROTHY LN
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45420-1155
Country	:	US
Telephone Number	:	937-294-1484
Fax Number	:	937-294-7542

Provider Business Practice Location Address
First Line	:	2436 E DOROTHY LN
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45420-1155
Country	:	US
Telephone Number	:	937-294-1484
Fax Number	:	937-294-7542

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DOMENICO G PELLE
Credential	:	B.S., D.C.
Telephone Number	:	937-294-1484

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	03/03/2026

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