Organization Active NPI

Delliquadri Chiropractic Clinic, LCC, Inc.

  • Chiropractor
  • Youngstown, OH
National Provider Identifier
1043472657
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2350 Issued in OH
Legal business name
DELLIQUADRI CHIROPRACTIC CLINIC, LCC, INC.
Practice address
703 E Midlothian Blvd
Youngstown, OH 44502-2504
Phone
(330) 788-1086
NPI assigned
Jun 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Dr. Tammy Jo Delliquadri, M.S.
Title
Owner
Phone
(330) 788-1086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2350 OH Primary

Addresses

Primary practice location

703 E Midlothian Blvd
Youngstown, OH 44502-2504

Mailing address

703 E Midlothian Blvd
Youngstown, OH 44502-2504
Phone (330) 788-1086

National Provider Directory

National Provider Directory

Locations

703 E Midlothian Blvd
Youngstown, OH 44502
Phone (330) 788-1086

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1043472657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 E MIDLOTHIAN BLVD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445022504",
            "telephone_number": "330-788-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 E MIDLOTHIAN BLVD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445022504",
            "telephone_number": "330-788-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELLIQUADRI CHIROPRACTIC CLINIC, LCC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "DELLIQUADRI",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-788-1086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.