Individual provider Active NPI

Dominick John Denisi, DC

  • Chiropractor
  • Newburgh, NY
National Provider Identifier
1285856880
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X0031871 Issued in NY
Practice address
5152 RT 9W
Newburgh, NY 12550-1415
Phone
(845) 565-8542
Fax
(845) 565-8542
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X0031871 NY Primary

Addresses

Primary practice location

5152 RT 9W
Newburgh, NY 12550-1415

Mailing address

5152 RT 9W
Newburgh, NY 12550-1415
Phone (845) 565-8542

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

State licenses

LicenseStateTypeSpecialty
X0031871NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285856880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5152 RT 9W",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501415",
            "telephone_number": "845-565-8542",
            "fax_number": "845-565-8542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5152 RT 9W",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501415",
            "telephone_number": "845-565-8542",
            "fax_number": "845-565-8542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENISI",
        "first_name": "DOMINICK",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0031871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.