Individual provider Active NPI

Paula Estelle Dimaio, D.C.

  • Chiropractor
  • Milmont Park, PA
National Provider Identifier
1306933122
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
D.C. 004582 - L Issued in PA
Practice address
1004 Macdade Blvd # a
Milmont Park, PA 19033-3624
Phone
(610) 534-2273
Fax
(610) 534-4629
NPI assigned
Oct 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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 D.C. 004582 - L PA Primary

Addresses

Primary practice location

1004 Macdade Blvd # a
Milmont Park, PA 19033-3624

Mailing address

1004 Macdade Blvd # a
Milmont Park, PA 19033-3624
Phone (610) 534-2273

Other identifiers 3

IdentifierTypeStateIssuer
232745490OtherTAX ID #
DI 661829OtherPABC/BS
1240487OtherPADPW PA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200928000178 WA Practitioner - Chiropractic 1153756176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spinal and Sports Care Clinic P SGroup PAC ID 3971408881, 3 clinicians

Practice addresses (Care Compare)

12905 E Sprague Ave
Spokane Valley, WA 99216-0731
Phone (509) 922-0303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D.C. 004582 - LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Spinal & Sports Care Clinic P S Chiropractor CurrentSince Nov 1, 2020 Accepting new patients

Locations

12905 E Sprague Ave
Spokane Valley, WA 99216
Phone (509) 922-0303

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306933122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 MACDADE BLVD # A",
            "city": "MILMONT PARK",
            "state": "PA",
            "postal_code": "190333624",
            "telephone_number": "610-534-2273",
            "fax_number": "610-534-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 MACDADE BLVD # A",
            "city": "MILMONT PARK",
            "state": "PA",
            "postal_code": "190333624",
            "telephone_number": "610-534-2273",
            "fax_number": "610-534-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMAIO",
        "first_name": "PAULA",
        "middle_name": "ESTELLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "D.C. 004582 - L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "232745490",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "DI 661829",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPW PA",
            "identifier": "1240487",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milmont Park, PA

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.
  • 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.