Organization Active NPI

Guy Ditommaso DC PA

  • Chiropractor
  • North Fort Myers, FL
National Provider Identifier
1760633275
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 9624 Issued in FL
Legal business name
GUY DITOMMASO DC PA
Practice address
13720 N Cleveland Ave
Suite B
North Fort Myers, FL 33903-4300
Phone
(239) 997-8100
Fax
(239) 997-4817
NPI assigned
Oct 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Authorized official

Name
Dr. Guy A Ditommaso, D.C.
Title
Owner
Phone
(239) 565-2109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH 9624 FL Primary

Addresses

Primary practice location

13720 N Cleveland Ave
Suite B
North Fort Myers, FL 33903-4300

Mailing address

13720 N Cleveland Ave
Suite B
North Fort Myers, FL 33903-4300
Phone (239) 997-8100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1760633275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13720 N CLEVELAND AVE",
            "address_2": "SUITE B",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339034300",
            "telephone_number": "239-997-8100",
            "fax_number": "239-997-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13720 N CLEVELAND AVE",
            "address_2": "SUITE B",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339034300",
            "telephone_number": "239-997-8100",
            "fax_number": "239-997-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUY DITOMMASO DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "DITOMMASO",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-565-2109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 9624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.