Individual provider Active NPI

Guy Andrew Ditommaso, DC

  • Chiropractor
  • Richmond, VA
National Provider Identifier
1336233188
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00194000 Issued in NJ
Practice address
9175 Staples Mill Rd
Richmond, VA 23228-2027
Phone
(804) 944-4576
Fax
(804) 944-4534
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9624 FL
Chiropractor 111N00000X 38MC00194000 NJ Primary

Addresses

Primary practice location

9175 Staples Mill Rd
Richmond, VA 23228-2027

Mailing address

13720 N Cleveland Ave
Suite B
North Fort Myers, FL 33903-4300
Phone (239) 997-8100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241004002543 VA Practitioner - Chiropractic 4082702923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiro Guys IncGroup PAC ID 6305377169, 3 clinicians

Practice addresses (Care Compare)

9175 Staples Mill Rd
Henrico, VA 23228-2027
Phone (908) 907-1460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro Guys, Inc Chiropractor CurrentSince Aug 20, 2024 Accepting new patients

Locations

9175 Staples Mill Rd
Richmond, VA 23228
Phone (804) 944-4576

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1336233188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13720 N CLEVELAND AVE",
            "address_2": "SUITE B",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339034300",
            "telephone_number": "239-997-8100",
            "fax_number": "239-997-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9175 STAPLES MILL RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232282027",
            "telephone_number": "804-944-4576",
            "fax_number": "804-944-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITOMMASO",
        "first_name": "GUY",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9624",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00194000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.