Active NPI
Dominic D Collino, D.C.
- Chiropractor
- Cheboygan, MI
National Provider Identifier
1740218254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301007207
- Practice address
- 321 S Huron St
Cheboygan, MI 49721-1979 - Phone
- (231) 597-2225
- Fax
- (231) 597-9565
- NPI assigned
- Jun 30, 2006
- Last updated
- Mar 26, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301007207 | MI | Primary |
Addresses
Primary practice location
321 S Huron St
Cheboygan, MI 49721-1979
Mailing address
321 S Huron St
Cheboygan, MI 49721-1979
Phone (231) 597-2225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11273917 | Other | MI | CAQH # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
321 S Huron St
Cheboygan, MI 49721-1979
Phone (231) 597-2225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dom Collino DC PLLC | Chiropractor | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Cheboygan, MI
- NPI 1710175088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206489600000",
"number": "1740218254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 S HURON ST",
"city": "CHEBOYGAN",
"state": "MI",
"postal_code": "497211979",
"telephone_number": "231-597-2225",
"fax_number": "231-597-9565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 S HURON ST",
"city": "CHEBOYGAN",
"state": "MI",
"postal_code": "497211979",
"telephone_number": "231-597-2225",
"fax_number": "231-597-9565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINO",
"first_name": "DOMINIC",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2008-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301007207",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH #",
"identifier": "11273917",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cheboygan, MI
- Cheboygan County Council on Aging
- Cheboygan Dental Associates Inc
- Cheboygan Life Support Systems Inc
- Cheboygan Opco LLC (Medilodge of Cheboygan)
- Robin A Chezick, B.S.N.
- Community Memorial Hospital
- Community Memorial Hospital (Cheboygan Memorial Hospital)
- Community Memorial Hospital
- Community Memorial Hospital
- Community Memorial Hospital (Cheboygan Memorial Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.