Active NPI
Martin John Dipetta, D.C.
- Chiropractor
- Elmira, NY
National Provider Identifier
1194043919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X011860-1
- Practice address
- 907 Pennsylvania Ave
Elmira, NY 14904-2633 - Phone
- (607) 738-6200
- NPI assigned
- May 5, 2010
- 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 | X011860-1 | NY | Primary |
Addresses
Primary practice location
907 Pennsylvania Ave
Elmira, NY 14904-2633
Mailing address
80 Pine Hills Dr
Pine City, NY 14871-9005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101116000470 | NY | Practitioner - Chiropractic | 7810182854 | Practice locations: Elmira, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
907 Pennsylvania Ave
Elmira, NY 14904-2633
Phone (607) 767-6497
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011860 | NY | MD | Mental Health Counselor |
| X011860-1 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dipetta Chiropractic | Chiropractor | Current | Accepting new patients |
Locations
907 Pennsylvania Ave
Elmira, NY 14904
Phone (607) 738-6200
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.
-
- Chiropractor
- Elmira, NY
- NPI 1770206492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273017600000",
"number": "1194043919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 PINE HILLS DR",
"city": "PINE CITY",
"state": "NY",
"postal_code": "148719005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 PENNSYLVANIA AVE",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149042633",
"telephone_number": "607-738-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIPETTA",
"first_name": "MARTIN",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-05",
"last_updated": "2010-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X011860-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmira, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.