Organization Active NPI

Diduro Chiropractic PLLC

  • Chiropractor
  • Geneva, NY
National Provider Identifier
1497837546
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X007847 Issued in NY
Legal business name
DIDURO CHIROPRACTIC PLLC
Practice address
452 W North St
Geneva, NY 14456-1352
Phone
(315) 789-0343
Fax
(315) 789-0345
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Authorized official

Name
Matthew Michael Diduro, DCNPI 1376514638
Title
Owner
Phone
(315) 789-0343

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X007847 NY Primary

Addresses

Primary practice location

452 W North St
Geneva, NY 14456-1352

Mailing address

67 Kendall St
Suite 200
Clifton Springs, NY 14432-9701
Phone (315) 462-9482

National Provider Directory

National Provider Directory

Locations

67 Kendall St Ste 200
Ste 200
Clifton Springs, NY 14432

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1497837546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 KENDALL ST",
            "address_2": "SUITE 200",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "144329701",
            "telephone_number": "315-462-9482",
            "fax_number": "315-462-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 W NORTH ST",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144561352",
            "telephone_number": "315-789-0343",
            "fax_number": "315-789-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIDURO CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "DIDURO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-789-0343",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.

Verify at the official NPI Registry.