Matthew Michael Diduro, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR005305 Issued in GA

Practice address

4535 Winters Chapel Rd
Suite B
Doraville, GA 30360-2705

Phone

(678) 957-0266

Fax

(678) 909-0659

NPI assigned

Jan 26, 2006

Last updated

Oct 29, 2014By 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 4

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metro Atlanta Diagnostics LLCGroup PAC ID 5193953719, 4 clinicians

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.

• Metro Atlanta Diagnostics LLC

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1598194805
  Medicare reassignment Care Compare group NPD
• Atl Pain Management Consulting Group LLC

  dba ATL Pain Institute

  • Physical Medicine & Rehabilitation Physician
  • Atlanta, GA
  • NPI 1447539697
  Authorized official Same address or phone
• Atlantic Pain Center

  dba Atl Pain Institute

  • Pain Medicine Physician
  • Doraville, GA
  • NPI 1932501277
  Authorized official Same address or phone
• Healthchoice Clinic of Johns Creek.L.L.C.

  dba Atl Pain Institute

  • Chiropractor
  • Doraville, GA
  • NPI 1700035037
  Authorized official Same address or phone
• Diduro Chiropractic PLLC

  • Chiropractor
  • Geneva, NY
  • NPI 1497837546
  NPD (past) Authorized official
• Lowry Chiropractic & Wellness Care PC

  • Chiropractor
  • Geneva, NY
  • NPI 1467489724
  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1376514638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 FAIRFIELD DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684104",
            "telephone_number": "404-402-1903",
            "fax_number": "678-909-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 WINTERS CHAPEL RD",
            "address_2": "SUITE B",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303602705",
            "telephone_number": "678-957-0266",
            "fax_number": "678-909-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIDURO",
        "first_name": "MATTHEW",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007847",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2134",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1905",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR005305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Culver, M.ED., CCC-SLP
• Samaria Darlington
• Dekalb Family Practice and Geriatrics (Lenox Medical Clinic)
• Larry Daniel Denson Jr.
• Nadya K Dhanani
• Robert Gwyn Dillon, M.D.
• Doraville Medical Center Corp
• Dr J Heaven, PC
• Lester Drezek, O.D.
• Egb Legacy Group, LLC

• Chiropractor in Doraville, GA
• Providers in Doraville, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.