Individual provider Active NPI

John Dimaggio, D.C., M.S.

  • Chiropractor
  • Lee's Summit, MO
National Provider Identifier
1568892172
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2013039643 Issued in MO
Practice address
400 SW Longview Blvd
Suite 160
Lees Summit, MO 64081-2102
Phone
(816) 761-3944
Fax
(866) 355-7993
NPI assigned
Nov 18, 2013
Last updated
Nov 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2013039643 MO Primary
Chiropractor 111N00000X 038.012503 IL

Addresses

Primary practice location

400 SW Longview Blvd
Suite 160
Lees Summit, MO 64081-2102

Mailing address

400 SW Longview Blvd
Suite 160
Lees Summit, MO 64081-2102
Phone (816) 761-3944

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
038.012503ILMDChiropractor
2013039643MOMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384732800000",
    "number": "1568892172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SW LONGVIEW BLVD",
            "address_2": "SUITE 160",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812102",
            "telephone_number": "816-761-3944",
            "fax_number": "866-355-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SW LONGVIEW BLVD",
            "address_2": "SUITE 160",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812102",
            "telephone_number": "816-761-3944",
            "fax_number": "866-355-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMAGGIO",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2013039643",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012503",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.