Robert J Didomenico, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2095 Issued in OH

Practice address

1164 Alliance Rd NW
Minerva, OH 44657-8736

Phone

(330) 868-2117

Fax

(866) 871-1668

NPI assigned

Mar 10, 2007

Last updated

Nov 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1215069737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1164 ALLIANCE RD NW",
            "city": "MINERVA",
            "state": "OH",
            "postal_code": "446578736",
            "telephone_number": "330-868-2117",
            "fax_number": "866-871-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1164 ALLIANCE RD NW",
            "city": "MINERVA",
            "state": "OH",
            "postal_code": "446578736",
            "telephone_number": "330-868-2117",
            "fax_number": "866-871-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIDOMENICO",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-10",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0991379",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Rae Dale, MS CCC-SLP
• Davis Chiropractic Inc.
• Aimee Davis, M.A. PSY. S.
• Todd Davis, D.C.
• Linda M Didomenico, DPM
• Discount Drug Mart Inc (Discount Drug Mart)
• Ellen Doney
• Robin Lee Douglass
• Robert Eaglen Jr., LPN
• Edgewater Golf Inc (Green Wolf Transportation)

• Chiropractor in Minerva, OH
• Providers in Minerva, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.