Organization Active NPI

Dipeso Chiropractic Center

  • Internist Chiropractor
  • Fallston, MD
National Provider Identifier
1447520457
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
01797 Issued in MD
Legal business name
DIPESO CHIROPRACTIC CENTER
Practice address
2404 Pleasantville Rd
Suite 6
Fallston, MD 21047-2099
Phone
(410) 803-8480
Fax
(410) 803-4840
NPI assigned
Jan 6, 2012
Last updated
Jan 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
Dr. Joseph John Dipeso, D.C.NPI 1679697494
Title
Chiropractor
Phone
(410) 803-8480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internist Chiropractor 111NI0900X 01797 MD Primary

Addresses

Primary practice location

2404 Pleasantville Rd
Suite 6
Fallston, MD 21047-2099

Mailing address

2404 Pleasantville Rd
Suite 6
Fallston, MD 21047-2099
Phone (410) 803-8480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120416000501 MD Part B Supplier - Clinic/Group Practice 2163683368 Receives reassigned benefits from 1 practitioner
Practice locations: Fallston, MD

National Provider Directory

National Provider Directory

Locations

2404 Pleasantville Rd
Ste 6
Fallston, MD 21047
Phone (410) 803-8480

Practitioners & affiliated clinicians

Practitioners 1

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": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1447520457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 PLEASANTVILLE RD",
            "address_2": "SUITE 6",
            "city": "FALLSTON",
            "state": "MD",
            "postal_code": "210472099",
            "telephone_number": "410-803-8480",
            "fax_number": "410-803-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 PLEASANTVILLE RD",
            "address_2": "SUITE 6",
            "city": "FALLSTON",
            "state": "MD",
            "postal_code": "210472099",
            "telephone_number": "410-803-8480",
            "fax_number": "410-803-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIPESO CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "DIPESO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "410-803-8480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "MD",
            "license": "01797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallston, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.