Active NPI
Angela Maria Dimartino, DC
- Chiropractor
- Chesterfield, MI
National Provider Identifier
1386660421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301008537
- Practice address
- 30120 23 Mile Rd
Chesterfield, MI 48047-2190 - Phone
- (586) 949-9248
- Fax
- (586) 949-6048
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- 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 | 2301008537 | MI | Primary |
Addresses
Primary practice location
30120 23 Mile Rd
Chesterfield, MI 48047-2190
Mailing address
30120 23 Mile Rd
Chesterfield, MI 48047-2190
Phone (586) 949-9248
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4590513 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301008537 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dimartino Livonia PC | Chiropractor | Past | Accepting new patients |
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": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386660421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30120 23 MILE RD",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480472190",
"telephone_number": "586-949-9248",
"fax_number": "586-949-6048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30120 23 MILE RD",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480472190",
"telephone_number": "586-949-9248",
"fax_number": "586-949-6048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMARTINO",
"first_name": "ANGELA",
"middle_name": "MARIA",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301008537",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4590513",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.