Individual provider Active NPI

Dominick G Disabatino, D.C.

  • Chiropractor
  • Chadds Ford, PA
National Provider Identifier
1164520441
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC003605L Issued in PA
Practice address
6 Dickinson Dr
BLDG. 100 Suite 108
Chadds Ford, PA 19317-9689
Phone
(610) 459-0300
Fax
(610) 459-1556
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC003605L PA Primary

Addresses

Primary practice location

6 Dickinson Dr
BLDG. 100 Suite 108
Chadds Ford, PA 19317-9689

Mailing address

6 Dickinson Dr
BLDG. 100 Suite 108
Chadds Ford, PA 19317-9689
Phone (610) 459-0300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080619000643 PA Practitioner - Chiropractic 0547331407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6 Dickinson Dr
Suite 108
Chadds Ford, PA 19317-9689
Phone (610) 459-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Disabatino Chiropractic Centre Inc Chiropractor CurrentSince Aug 20, 2012 Accepting new patients

Locations

6 Dickinson Dr
Ste 108
Chadds Ford, PA 19317
Phone (610) 459-0300

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1164520441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 DICKINSON DR",
            "address_2": "BLDG. 100 SUITE 108",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179689",
            "telephone_number": "610-459-0300",
            "fax_number": "610-459-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 DICKINSON DR",
            "address_2": "BLDG. 100 SUITE 108",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179689",
            "telephone_number": "610-459-0300",
            "fax_number": "610-459-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISABATINO",
        "first_name": "DOMINICK",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC003605L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chadds Ford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.