Active NPI
Christopher Fiordaliso, D.C.
- Chiropractor
- Southampton, PA
National Provider Identifier
1366481087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC006513L
- Practice address
- 75 James Way
Southampton, PA 18966-3858 - Phone
- (215) 942-7990
- NPI assigned
- Jun 6, 2006
- Last updated
- Feb 27, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC006513L | PA | Primary |
Addresses
Primary practice location
75 James Way
Southampton, PA 18966-3858
Mailing address
75 James Way
P.O. Box 321
Southampton, PA 18966-3858
Phone (215) 942-7990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050314000046 | PA | Practitioner - Chiropractic | 9537114558 | Practice locations: Southampton, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
260 Knowles Ave
Southampton, PA 18966-1530
260 Knowles Ave
Southampton, PA 18966-1555
Phone (215) 942-7990
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC006513L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southampton Chiropractic Center | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Southampton, PA
- NPI 1407004013
-
- Chiropractor
- Southampton, PA
- NPI 1568504413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204070400000",
"number": "1366481087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 JAMES WAY",
"address_2": "P.O. BOX 321",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189663858",
"telephone_number": "215-942-7990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 JAMES WAY",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189663858",
"telephone_number": "215-942-7990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIORDALISO",
"first_name": "CHRISTOPHER",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2008-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC006513L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southampton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.