Individual provider Active NPI

Dominic A Scaramozi V, D.C.

  • Chiropractor
  • Seguin, TX
National Provider Identifier
1093056764
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12245 Issued in TX
Practice address
1300 N King St
Seguin, TX 78155-3820
Phone
(210) 289-5206
NPI assigned
Mar 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12245 TX Primary

Addresses

Primary practice location

1300 N King St
Seguin, TX 78155-3820

Mailing address

1300 N King St
Seguin, TX 78155-3820

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130702000569 TX Practitioner - Chiropractic 2961642574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Pecan Country Chiropractic LLCGroup PAC ID 2567788110, 2 clinicians

Practice addresses (Care Compare)

1300 N King St
Seguin, TX 78155-3820
Phone (830) 549-5232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12245TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pecan Country Chiropractic, LLC Chiropractor CurrentSince Oct 29, 2014 Accepting new patients

Locations

1300 N King St
Seguin, TX 78155
Phone (830) 549-5232

Organizations & group practices 1

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": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1093056764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N KING ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781553820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N KING ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781553820",
            "telephone_number": "210-289-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARAMOZI",
        "first_name": "DOMINIC",
        "middle_name": "A",
        "name_suffix": "V",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-06",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seguin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.