Michael Joseph Dimauro, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

1905 Issued in MA

Practice address

283 S Broadway
Lawrence, MA 01843-2631

Phone

(978) 688-9122

Fax

(978) 688-9871

NPI assigned

May 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bay State Chiropractic & Sports Injuries, Inc.

  dba DiMauro Family Chiropractic

  • Sports Physician Chiropractor
  • Middleton, MA
  • NPI 1043489313
  Medicare reassignment NPD Authorized official
• Middleton Chiropractic & Sports Injury, PC

  • Chiropractor
  • Middleton, MA
  • NPI 1407984586
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265653612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 S BROADWAY",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018432631",
            "telephone_number": "978-688-9122",
            "fax_number": "978-688-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 S BROADWAY",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018432631",
            "telephone_number": "978-688-9122",
            "fax_number": "978-688-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMAURO",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MA",
            "license": "1905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Marcinek Dignam, PT
• Jaxon Dillard
• Maria E Dilone Nunez
• Laura Maritza Dilone
• Kerri L Dimauro, LCSW
• Lisa A Dinuccio
• Ethan Dionne, PA-C
• Amanda L Dipietro, LCSW
• Alphonsina Disla
• Marinette Disla

• Sports Physician Chiropractor in Lawrence, MA
• Providers in Lawrence, MA by specialty
• Sports Physician Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.