Smaldone Chiropractic PLLC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

Legal business name

SMALDONE CHIROPRACTIC PLLC

Practice address

12 John St
Kingston, NY 12401-3810

Phone

(845) 750-6913

Fax

(845) 750-6510

NPI assigned

Feb 22, 2019

Organization subpart

No

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

Authorized official

Name

Dr. David A Smaldone, DCNPI 1386710846

Title

Owner/Provider

Phone

(845) 750-6913

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Smaldone Chiropractic Former legal business name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Anthony Smaldone, D.C.

  • Chiropractor
  • Kingston, NY
  • NPI 1386710846

  Sports Physician

  Medicare reassignment NPD Authorized official
• Melanie Tennessee Molineau, LMT

  • Massage Therapist
  • Kingston, NY
  • NPI 1982234324
  NPD
• Dominique Brianna Di Carmine, LMT

  • Massage Therapist
  • New Paltz, NY
  • NPI 1942546585
  NPD (past)

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550793600000",
    "number": "1336606680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 JOHN ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013810",
            "telephone_number": "845-750-6913",
            "fax_number": "845-750-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 JOHN ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013810",
            "telephone_number": "845-750-6913",
            "fax_number": "845-750-6510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39 Center St",
            "address_purpose": "LOCATION",
            "city": "New Paltz",
            "state": "NY",
            "postal_code": "125612006",
            "country_code": "US",
            "telephone_number": "845-750-6913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SMALDONE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A",
        "authorized_official_last_name": "SMALDONE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "845-750-6913",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12274847",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER COMP",
            "identifier": "C11297-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "X011297",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smaldone Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Gaurav Singh
• Ioni Dipti Sisodia, MD
• Leah McCracken Siuta
• Michael Skelly, MD
• Skytop Mental Health Counseling, PLLC
• David Anthony Smaldone, D.C.
• Shlomo Small, DO
• Samantha Smedes
• Nicole Elise Smirnoff
• Aimee L. Smith, DO

• Sports Physician Chiropractor in Kingston, NY
• Providers in Kingston, NY by specialty
• Sports Physician Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.