Donald P. Mammano, D.C., S.C.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

038-003506 Issued in IL

Legal business name

DONALD P. MAMMANO, D.C., S.C.

Practice address

1304 Gemini Cir
Suite 2
Ottawa, IL 61350-1689

Phone

(815) 434-5555

Fax

(815) 434-5568

NPI assigned

Apr 24, 2007

Last updated

Jun 13, 2008By 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

Dr. Donald Peter Mammano, D.C., F.A.C.O.

Title

Physician

Phone

(815) 434-5555

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1679792477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 GEMINI CIR",
            "address_2": "SUITE 2",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613501689",
            "telephone_number": "815-434-5555",
            "fax_number": "815-434-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 GEMINI CIR",
            "address_2": "SUITE 2",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613501689",
            "telephone_number": "815-434-5555",
            "fax_number": "815-434-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD P. MAMMANO, D.C., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "MAMMANO",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "815-434-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., F.A.C.O."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "IL",
            "license": "038-003506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "5015067-69",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hunter Clark Davis, DDS
• Deer Park C C School Dist 82
• Dixie Devry, OT
• Dialysis Centers of America - Illinois, Inc. (Fresenius Medical Care Ottawa)
• Dialysis Centers of America - Illinois, Inc. (RCG Central Illinois-Morris PD)
• Merrick Donenberg, M.D.
• Rachel Donoho, LCSW
• Lorna Ko Doria, M.D.
• Ami M Dose, APRN, FNP
• Liam Patrick Dougherty, PT, DPT

• Orthopedic Chiropractor in Ottawa, IL
• Providers in Ottawa, IL by specialty
• Orthopedic Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.