Organization Active NPI

Disabatino Chiropractic Centre Inc

  • Chiropractor
  • Chadds Ford, PA
National Provider Identifier
1164520458
Registry record updated Nov 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC003605L Issued in PA
Legal business name
DISABATINO CHIROPRACTIC CENTRE INC
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2012

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

Authorized official

Name
Dr. Dominick G. Disabatino, D.C.NPI 1164520441
Title
President
Phone
(610) 459-0300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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
O20121112000033 PA Part B Supplier - Clinic/Group Practice 5294986741 Receives reassigned benefits from 1 practitioner
Practice locations: Chadds Ford, PA

National Provider Directory

National Provider Directory

Locations

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

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1164520458",
    "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": {
        "organization_name": "DISABATINO CHIROPRACTIC CENTRE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "DISABATINO",
        "authorized_official_first_name": "DOMINICK",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-459-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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 Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.