Active NPI
Michael J. Dimaio D.C., P.C.
- Chiropractor
- Manorville, NY
National Provider Identifier
1740674753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X055961
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X055961 | Other | NY | PTAN |
| 1801079223 | Other | NY | INDIVIDUAL NPI NUMBER |
Other names 1
- betterisland chiropractic
National Provider Directory
National Provider DirectoryNPI 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.