NPIMap

Organization Active NPI

DTL Enterprises PC

Doing business as south philadelphia pain center

  • Chiropractor
  • Philadelphia, PA
National Provider Identifier
1346451176
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007780 Issued in PA
Legal business name
DTL ENTERPRISES PC
Doing business as
south philadelphia pain center
Practice address
1801 S 20TH St
Philadelphia, PA 19145-2021
Phone
(215) 465-4465
Fax
(215) 465-4489
NPI assigned
May 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Darren Michael Lugiano, DCNPI 1598975401
Title
President
Phone
(215) 465-4465

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC007780 PA Primary

Addresses

Primary practice location

1801 S 20TH St
Philadelphia, PA 19145-2021

Mailing address

1801 S 20TH St
Philadelphia, PA 19145-2021
Phone (215) 465-4465

Other names 1

  • south philadelphia pain center Doing business as

National Provider Directory

National Provider Directory

Locations

1801 S 20th St
Philadelphia, PA 19145
Phone (215) 465-4465

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346451176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 S 20TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452021",
            "telephone_number": "215-465-4465",
            "fax_number": "215-465-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S 20TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452021",
            "telephone_number": "215-465-4465",
            "fax_number": "215-465-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DTL ENTERPRISES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUGIANO",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-465-4465",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "south philadelphia pain center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.