Organization Active NPI

The Delaino Clinic of Chiropractic

  • Chiropractor
  • Rome, GA
National Provider Identifier
1548446891
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
005624 Issued in GA
Legal business name
THE DELAINO CLINIC OF CHIROPRACTIC
Practice address
4 Shorter Ave NW
Rome, GA 30165-2400
Phone
(706) 233-9181
NPI assigned
Jan 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Dr. Russell Edwin Delaino, D.C.NPI 1619151644
Title
Officer
Phone
(706) 233-9181

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 005624 GA Primary

Addresses

Primary practice location

4 Shorter Ave NW
Rome, GA 30165-2400

Mailing address

4 Shorter Ave NW
Rome, GA 30165-2400
Phone (706) 233-9181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040916001030 GA Part B Supplier - Clinic/Group Practice 9234106311 Receives reassigned benefits from 1 practitioner
Practice locations: Rome, GA

National Provider Directory

National Provider Directory

Locations

808 Avenue B NE
Ste A
Rome, GA 30165
Phone (706) 223-9181

4 Shorter Ave NW
Rome, GA 30165
Phone (706) 233-9181

Practitioners & affiliated clinicians

Practitioners 1

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": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1548446891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SHORTER AVE NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652400",
            "telephone_number": "706-233-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SHORTER AVE NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652400",
            "telephone_number": "706-233-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DELAINO CLINIC OF CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "DELAINO",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "706-233-9181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "005624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.