Donn Anthony Innaimo, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

000346 Issued in CT

Practice address

380 Main St
Ste 5
Watertown, CT 06795-2260

Phone

(860) 274-8858

Fax

(860) 945-6355

NPI assigned

Jun 20, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1981

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1720083298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 MAIN ST",
            "address_2": "STE 5",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952260",
            "telephone_number": "860-274-8858",
            "fax_number": "860-945-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 MAIN ST",
            "address_2": "STE 5",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952260",
            "telephone_number": "860-274-8858",
            "fax_number": "860-945-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INNAIMO",
        "first_name": "DONN",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "000346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00405146",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE FAMILY PLAN",
            "identifier": "00405146200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LANDMARK",
            "identifier": "CT00346",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0461226",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "050000346CT07",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHN",
            "identifier": "102035000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETHNA PPO",
            "identifier": "4210015",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6596401003",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carl Michael Heineman, RPH
• Sungho Hur, D.C.
• Jaimee Hustek, LPC
• Hype Healing: CT Holistic Therapy & Advocacy, PLLC
• Kara Marie Iacoviello, OT
• Iris Behavioral Health Services LLC
• Sara Jalbert, LPC, LP
• Aimee Jette, LPC, ATR
• Ellen L Jobin, B.S.H.I.S.
• John P. Moschello, MD, PC

• Chiropractor in Watertown, CT
• Providers in Watertown, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.