Organization Active NPI

Michael J. Dimaio D.C., P.C.

  • Chiropractor
  • Manorville, NY
National Provider Identifier
1740674753
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X055961 Issued in NY
Legal business name
MICHAEL J. DIMAIO D.C., P.C.
Practice address
306 Wading River Rd
Manorville, NY 11949-3444
Phone
(631) 909-1700
NPI assigned
Mar 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Authorized official

Name
Dr. Michael John Dimaio, CDC.C.
Title
Owner/President
Phone
(631) 909-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X055961 NY Primary

Addresses

Primary practice location

306 Wading River Rd
Manorville, NY 11949-3444

Mailing address

306 Wading River Rd
Manorville, NY 11949-3444
Phone (631) 909-1700

Other identifiers 2

IdentifierTypeStateIssuer
X055961OtherNYPTAN
1801079223OtherNYINDIVIDUAL NPI NUMBER

Other names 1

  • betterisland chiropractic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1740674753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 WADING RIVER RD",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119493444",
            "telephone_number": "631-909-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 WADING RIVER RD",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119493444",
            "telephone_number": "631-909-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. DIMAIO D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "DIMAIO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "631-909-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CDC.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X055961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "X055961",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1801079223",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "betterisland chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manorville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.