Michael Daiuto Sr., D.C.
Individual provider Active NPI Chiropractor · Timonium, MD
NPI 1700911872 · NPPES record last updated Nov 26, 2012
Key facts
- NPI
- 1700911872
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- S01893 (MD)
- Practice address
- 9515 Deereco Rd
Suite 305
Timonium, MD 21093-2116 - Phone
- (410) 252-0040
- Fax
- (410) 252-0161
- NPI assigned
- Feb 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9515 Deereco Rd
Suite 305
Timonium, MD 21093-2152
Phone (410) 252-0040
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041018000826 | MD | Practitioner - Chiropractic | 8224098892 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Spinal Care & Rehabilitation Inc. | Chiropractor | Current |
Accepting new patients |
Locations
9515 Deereco Rd
Ste 305
Timonium, MD 21093
Phone (410) 252-0040
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | S01893 | MD | Yes |
Addresses
Primary practice location
9515 Deereco Rd
Suite 305
Timonium, MD 21093-2116
Mailing address
9515 Deereco Rd
Suite 305
Timonium, MD 21093-2116
Phone (410) 252-0040
Other providers in Timonium, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.