Individual provider Active NPI

Louis Duane Damico, DC

  • Chiropractor
  • Beaver Falls, PA
National Provider Identifier
1205834595
Registry record updated Feb 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC006255L Issued in PA
Practice address
2401 Darlington Rd
Beaver Falls, PA 15010-1324
Phone
(724) 843-7255
Fax
(724) 843-2254
NPI assigned
Jul 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC006255L PA Primary

Addresses

Primary practice location

2401 Darlington Rd
Beaver Falls, PA 15010-1324

Mailing address

2401 Darlington Rd
Beaver Falls, PA 15010-1324
Phone (724) 843-7255

Other identifiers 1

IdentifierTypeStateIssuer
0016110100001MedicaidPA

Other names 1

  • Dr. Louis Duane Damico Professional name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC006255LPAMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359763200000",
    "number": "1205834595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 DARLINGTON RD",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101324",
            "telephone_number": "724-843-7255",
            "fax_number": "724-843-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 DARLINGTON RD",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101324",
            "telephone_number": "724-843-7255",
            "fax_number": "724-843-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMICO",
        "first_name": "LOUIS",
        "middle_name": "DUANE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2013-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006255L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016110100001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOUIS",
            "last_name": "DAMICO",
            "middle_name": "DUANE",
            "prefix": "DR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Beaver Falls, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.