Active NPI
Chris Michael Dagostino, D.C.
- Chiropractor
- Rancho Mirage, CA
National Provider Identifier
1154495836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC15171
- Practice address
- 41750 Rancho Las Palmas Dr
Suite E2
Rancho Mirage, CA 92270-5511 - Phone
- (760) 773-2600
- Fax
- (760) 773-2608
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC15171 | CA | Primary |
Addresses
Primary practice location
41750 Rancho Las Palmas Dr
Suite E2
Rancho Mirage, CA 92270-5511
Mailing address
41750 Rancho Las Palmas Dr
Suite E2
Rancho Mirage, CA 92270-5511
Phone (760) 773-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15171 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| DC15171 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307577600000",
"number": "1154495836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41750 RANCHO LAS PALMAS DR",
"address_2": "SUITE E2",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922705511",
"telephone_number": "760-773-2600",
"fax_number": "760-773-2608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41750 RANCHO LAS PALMAS DR",
"address_2": "SUITE E2",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922705511",
"telephone_number": "760-773-2600",
"fax_number": "760-773-2608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAGOSTINO",
"first_name": "CHRIS",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2011-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC15171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.