Robert Anthony Distefano, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

F1-0000935 Issued in DE

Practice address

1425 New Burton Rd
Dover, DE 19904-5462

Phone

(302) 505-5767

NPI assigned

Sep 25, 2014

Last updated

Jan 16, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Integrated Chirocare LLC

  • Chiropractor
  • Dover, DE
  • NPI 1225899347
  Medicare reassignment NPD Authorized official
• Schreppler Chiropractic Offices P.a. Smyrna Delaware

  • Chiropractor
  • Smyrna, DE
  • NPI 1902994619
  NPD (past)
• Shrewsbury Chiropractic, LLC

  • Chiropractor
  • Shrewsbury, PA
  • NPI 1720104326
  NPD (past)

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1326440058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 NEW BURTON RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199045462",
            "telephone_number": "302-505-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 NEW BURTON RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199045462",
            "telephone_number": "302-505-5767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 S. Dupont Highway",
            "address_2": "Unit 203",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199013797",
            "country_code": "US",
            "telephone_number": "302-744-8650",
            "fax_number": "302-744-8983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DISTEFANO",
        "first_name": "ROBERT",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-25",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0000935",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "GA",
            "license": "CHIR008604",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dispatch Center of Marketing and Sales
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• Division of Substance Abuse and Mental Health (Kent Bridge Clinic)
• Jennifer Ferguson Divita, MPT, CSCS

• Chiropractor in Dover, DE
• Providers in Dover, DE by specialty
• Chiropractor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.