Individual provider Active NPI

Valiant G Dia, D.C.

  • Chiropractor
  • East Northport, NY
National Provider Identifier
1174656391
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X007359-1 Issued in NY
Practice address
548 Larkfield Rd
East Northport, NY 11731-4204
Phone
(631) 368-4018
Fax
(631) 368-3109
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 X007359-1 NY Primary

Addresses

Primary practice location

548 Larkfield Rd
East Northport, NY 11731-4204

Mailing address

548 Larkfield Rd
East Northport, NY 11731-4204
Phone (631) 368-4018

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120208000735 NY Practitioner - Chiropractic 5799942413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1176 Willis Ave
Albertson, NY 11507-1229
Phone (516) 742-0088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X007359-1NYMDChiropractor
007359NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Office PC Chiropractor CurrentSince Mar 1, 2019 Accepting new patients
Dr Valiant Dia Chiropractic PC Chiropractor CurrentSince Mar 1, 2019 Accepting new patients

Locations

1176 Willis Ave
Albertson, NY 11507
Phone (516) 484-0811

Organizations & group practices 2

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174656391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 LARKFIELD RD",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117314204",
            "telephone_number": "631-368-4018",
            "fax_number": "631-368-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 LARKFIELD RD",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117314204",
            "telephone_number": "631-368-4018",
            "fax_number": "631-368-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIA",
        "first_name": "VALIANT",
        "middle_name": "G",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007359-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Northport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.