Active NPI
Dr. Salvatore Didomenico Dcpa
- Primary Care Clinic/Center
- Lakewood Ranch, FL
National Provider Identifier
1184821860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- CH0007562
- Legal business name
- DR. SALVATORE DIDOMENICO DCPA
- Practice address
- 7466 Edenmore Street
Lakewood Ranch, FL 34202 - Phone
- (727) 365-4506
- NPI assigned
- Jun 27, 2007
- Last updated
- Apr 13, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Salvatore Didomenico, DC
- Title
- President
- Phone
- (727) 365-4506
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | CH0007562 | FL | Primary |
Addresses
Primary practice location
7466 Edenmore Street
Lakewood Ranch, FL 34202
Mailing address
7466 Edenmore St
Lakewood Ranch, FL 34202-7900
Phone (727) 365-4506
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 381824100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Bradenton, FL
- NPI 1447329545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302652800000",
"number": "1184821860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7466 EDENMORE ST",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342027900",
"telephone_number": "727-365-4506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7466 EDENMORE STREET",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "34202",
"telephone_number": "727-365-4506"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. SALVATORE DIDOMENICO DCPA",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-27",
"last_updated": "2011-04-13",
"status": "A",
"authorized_official_last_name": "DIDOMENICO",
"authorized_official_first_name": "SALVATORE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "727-365-4506",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "FL",
"license": "CH0007562",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "381824100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood Ranch, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.