Individual provider Active NPI

Michael Dimarco II, D.C.

  • Chiropractor
  • Sedona, AZ
National Provider Identifier
1134545833
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00709900 Issued in NJ
Practice address
45 Castle Rock Rd Ste 3
Sedona, AZ 86351-8806
Phone
(928) 254-7099
NPI assigned
Mar 5, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9145 AZ
Chiropractor 111N00000X 38MC00709900 NJ Primary

Addresses

Primary practice location

45 Castle Rock Rd Ste 3
Sedona, AZ 86351-8806

Mailing address

45 Castle Rock Rd Ste 3
Sedona, AZ 86351-8806
Phone (928) 254-7099

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240429003630 AZ Practitioner - Chiropractic 3072746510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

45 Castle Rock Rd
Suite 3
Sedona, AZ 86351-8806
Phone (928) 254-7099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9145AZMDChiropractor
38MC00709900NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
White Buffalo Chiropractic LLC Chiropractor CurrentSince Mar 19, 2024 Accepting new patients

Locations

45 Castle Rock Rd
Ste 3
Sedona, AZ 86351
Phone (928) 254-7099

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": "1393977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1134545833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CASTLE ROCK RD STE 3",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863518806",
            "telephone_number": "928-254-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CASTLE ROCK RD STE 3",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863518806",
            "telephone_number": "928-254-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMARCO",
        "first_name": "MICHAEL",
        "name_suffix": "II",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-05",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "9145",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00709900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedona, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.