Organization Active NPI

Daniel V Tominello M.S., D.C., P.C.

  • Chiropractor
  • Madison Heights, MI
National Provider Identifier
1114117835
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007017 Issued in MI
Legal business name
DANIEL V TOMINELLO M.S., D.C., P.C.
Practice address
1632 Millard Ave
Madison Heights, MI 48071-1040
Phone
(248) 765-2587
NPI assigned
Jul 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Authorized official

Name
Dr. Daniel Victor Tominello, D.C.
Title
President
Phone
(248) 548-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301007017 MI Primary

Addresses

Primary practice location

1632 Millard Ave
Madison Heights, MI 48071-1040

Mailing address

1632 Millard Ave
Madison Heights, MI 48071-1040
Phone (248) 765-2587

National Provider Directory

National Provider Directory

Locations

1409 E 11 Mile Rd
Royal Oak, MI 48067
Phone (248) 548-3333

Practitioners & affiliated clinicians

Practitioners 1

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": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1114117835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 MILLARD AVE",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711040",
            "telephone_number": "248-765-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 MILLARD AVE",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711040",
            "telephone_number": "248-765-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL V TOMINELLO M.S., D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "TOMINELLO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-548-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.