Organization Active NPI

Advanced Spinal Care & Rehabilitation Inc.

  • Chiropractor
  • Timonium, MD
National Provider Identifier
1508080797
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S01893 Issued in MD
Legal business name
ADVANCED SPINAL CARE & REHABILITATION INC.
Practice address
9515 Deereco Rd
Suite 305
Timonium, MD 21093-2116
Phone
(410) 252-0040
NPI assigned
Apr 12, 2007
Last updated
Aug 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Authorized official

Name
Dr. Michael Daiuto Sr., D.C.NPI 1700911872
Title
President
Phone
(410) 252-0040

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 S01893 MD Primary

Addresses

Primary practice location

9515 Deereco Rd
Suite 305
Timonium, MD 21093-2116

Mailing address

9515 Deereco Rd
Suite 305
Timonium, MD 21093-2116

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041018000794 MD Part B Supplier - Clinic/Group Practice 0042270605 Receives reassigned benefits from 1 practitioner
Practice locations: Timonium, MD

National Provider Directory

National Provider Directory

Locations

9515 Deereco Rd
Ste 305
Timonium, MD 21093
Phone (410) 252-0040

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": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1508080797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9515 DEERECO RD",
            "address_2": "SUITE 305",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9515 DEERECO RD",
            "address_2": "SUITE 305",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932116",
            "telephone_number": "410-252-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPINAL CARE & REHABILITATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "DAIUTO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-252-0040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.