Dianne L. Como, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3191 Issued in MN

Practice address

669 Winnetka Ave N
Suite 202
Golden Valley, MN 55427-4574

Phone

(763) 595-9096

Fax

(763) 595-0291

NPI assigned

Jul 11, 2005

Last updated

Aug 19, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Dianne L. Como Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dianne L. Como, DC, PA

  dba Back in Shape Chiropractic

  • Clinic/Center
  • Golden Valley, MN
  • NPI 1205933306
  Authorized official Same address or phone
• Christopher R. Larson, D.C., P.a.

  dba Back In Shape Chiropractic

  • Chiropractor
  • Golden Valley, MN
  • NPI 1346312147
  NPD (past)

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219104000000",
    "number": "1689672982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 WINNETKA AVE N",
            "address_2": "SUITE 202",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274574",
            "telephone_number": "763-595-9096",
            "fax_number": "763-595-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 WINNETKA AVE N",
            "address_2": "SUITE 202",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274574",
            "telephone_number": "763-595-9096",
            "fax_number": "763-595-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMO",
        "first_name": "DIANNE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2008-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "55F13CO",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889027700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANNE",
            "last_name": "COMO",
            "middle_name": "L.",
            "prefix": "DR.",
            "credential": "D.C., P.A.,",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Chiropractor in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.