Active NPI
D'Amato Chiropractic Clinic Inc
- Chiropractor
- Youngstown, OH
National Provider Identifier
1770628695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 879
- Legal business name
- D'AMATO CHIROPRACTIC CLINIC INC
- Practice address
- 841 Southwestern Run
Suite 2
Youngstown, OH 44514-3688 - Phone
- (330) 629-9292
- Fax
- (330) 629-9339
- NPI assigned
- Feb 20, 2007
- Last updated
- Mar 31, 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. Adrian A D'Amato, D.C.
- Title
- Owner
- Phone
- (330) 629-9292
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 879 | OH | Primary |
Addresses
Primary practice location
841 Southwestern Run
Suite 2
Youngstown, OH 44514-3688
Mailing address
841 Southwestern Run
Suite 2
Poland, OH 44514-3671
Phone (330) 629-9292
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000136265 | Other | ANTHEM | |
| 262210080002 | Other | OH | MEDICAL MUTUAL |
| 9389701 | Other | MEDICARE | |
| 262210080-00 | Other | OH | WORKER'S COMPENSATION |
| 3055241 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
841 Southwestern Run
Ste 2
Youngstown, OH 44514
Phone (330) 629-9292
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Poland, OH
- NPI 1043350739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427760000000",
"number": "1770628695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "841 SOUTHWESTERN RUN",
"address_2": "SUITE 2",
"city": "POLAND",
"state": "OH",
"postal_code": "445143671",
"telephone_number": "330-629-9292",
"fax_number": "330-629-9339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "841 SOUTHWESTERN RUN",
"address_2": "SUITE 2",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445143688",
"telephone_number": "330-629-9292",
"fax_number": "330-629-9339"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "D'AMATO CHIROPRACTIC CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2015-03-31",
"status": "A",
"authorized_official_last_name": "D'AMATO",
"authorized_official_first_name": "ADRIAN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "330-629-9292",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "879",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000136265",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL",
"identifier": "262210080002",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "9389701",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKER'S COMPENSATION",
"identifier": "262210080-00",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3055241",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.