Active NPI
Dadesky Ivory Saintil, DC
- Chiropractor
- Lauderdale Lakes, FL
National Provider Identifier
1205139904
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(2) exclusion effective Dec 20, 2016.
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 10187
- Practice address
- 3500 N State Road 7
Lauderdale Lakes, FL 33319-5600 - Phone
- (954) 882-5372
- NPI assigned
- Dec 19, 2010
- Last updated
- Feb 4, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH 10187 | FL | Primary |
| Chiropractor | 111N00000X | 012251 | NY |
Addresses
Primary practice location
3500 N State Road 7
Lauderdale Lakes, FL 33319-5600
Mailing address
PO Box 316
East Meadow, NY 11554-0316
Phone (954) 882-5372
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012251 | NY | MD | Mental Health Counselor |
| CH 10187 | FL | MD | Chiropractor |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Lauderdale Lakes, FL
- NPI 1770888927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359936000000",
"number": "1205139904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 316",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115540316",
"telephone_number": "954-882-5372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 N STATE ROAD 7",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333195600",
"telephone_number": "954-882-5372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAINTIL",
"first_name": "DADESKY",
"middle_name": "IVORY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-19",
"last_updated": "2013-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 10187",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "012251",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lauderdale Lakes, FL
- Sacred Heart Home Health, LLC
- Vanita Sahasranaman, MD
- Jean Max Saint Charles, MD
- Glenis Fabienne Saint-Cyr, APRN FNP-C
- Aliane Saintil
- Frantz Sainvil, MD
- Debbie Evena Salomon, RN
- Saltzman, Tanis, Pittel, Levin and Jacobson, LLC (Pediatric Associates)
- Sandyscaringhearthomemaker
- Sanitas Lauderdale Lakes Idtc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.