Marc Deodato, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC009797 Issued in PA

Practice address

945 E Haverford Rd Ste a
Bryn Mawr, PA 19010-3814

Phone

(610) 527-8127

Fax

(610) 527-3905

NPI assigned

Dec 10, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

• Sabers Chiropractic PLLC

  • Chiropractor
  • Bryn Mawr, PA
  • NPI 1750923868
  NPD

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1013190339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 E HAVERFORD RD STE A",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103814",
            "telephone_number": "610-527-8127",
            "fax_number": "610-527-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 E HAVERFORD RD STE A",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103814",
            "telephone_number": "610-527-8127",
            "fax_number": "610-527-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEODATO",
        "first_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Bronson Denholm, LCSW
• Jennifer L. Denne, M.D.
• Richard E Denovan, MD
• David D Densmore, O.D.
• Meredith Ann Denzine I, PA-C
• Anne Depapp, MD
• Theresa Leahey Depetris, P.T.
• Janet E Desipio, P.A.
• Michael A Destefano, PH.D.
• Vickie Ruth Detter, LSW

• Chiropractor in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.