Comprehensive Chiropractic & Rehabilitation, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1997113659 Issued in DE

Legal business name

COMPREHENSIVE CHIROPRACTIC & REHABILITATION, P.A.

Practice address

850 New Burton Rd
Suite 102
Dover, DE 19904

Phone

(302) 730-1101

Fax

(302) 730-1103

NPI assigned

Jan 2, 2007

Last updated

Mar 25, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael A Gondolfo, D.C.NPI 1104999192

Title

President

Phone

(302) 730-1101

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Practitioners 2

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.

• Michael A Gondolfo, D.C.

  • Chiropractor
  • Dover, DE
  • NPI 1104999192
  Medicare reassignment NPD Authorized official
• Zak Gondolfo

  • Chiropractor
  • Dover, DE
  • NPI 1578225199
  Medicare reassignment NPD

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1669539466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 NEW BURTON RD",
            "address_2": "SUITE 102",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "19904",
            "telephone_number": "302-730-1101",
            "fax_number": "302-730-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 NEW BURTON RD",
            "address_2": "SUITE 102",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "19904",
            "telephone_number": "302-730-1101",
            "fax_number": "302-730-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE CHIROPRACTIC & REHABILITATION, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "GONDOLFO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-730-1101",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "1997113659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Dover, DE
• Providers in Dover, DE by specialty
• Chiropractor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.