Individual provider Active NPI

Thomas More Manidis, D.C.

  • Chiropractor
  • Huntingdon Valley, PA
National Provider Identifier
1780704106
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011317 Issued in PA
Practice address
2162 County Line Rd
Huntingdon Valley, PA 19006-1740
Phone
(215) 322-9400
Fax
(954) 957-7040
NPI assigned
Mar 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8425 FL
Chiropractor 111N00000X DC011317 PA Primary

Addresses

Primary practice location

2162 County Line Rd
Huntingdon Valley, PA 19006-1740

Mailing address

330 Jacksonville Rd Apt 7-309
Warminster, PA 18974-6410
Phone (561) 703-7984

Other identifiers 3

IdentifierTypeStateIssuer
CH8425OtherFLSTATE LICENSE NUMBER
DC011317OtherPADC LICENSE
88507OtherFLOUT OF NETWORK BCBS PROVI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH8425FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Palm-Aire Medical & Rehab Center, Inc. Chiropractor Past Accepting new patients
Bacus Chiropractic, Inc. Chiropractor Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1780704106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 JACKSONVILLE RD APT 7-309",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189746410",
            "telephone_number": "561-703-7984",
            "fax_number": "954-957-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2162 COUNTY LINE RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061740",
            "telephone_number": "215-322-9400",
            "fax_number": "954-957-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIDIS",
        "first_name": "THOMAS",
        "middle_name": "MORE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8425",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "CH8425",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC LICENSE",
            "identifier": "DC011317",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUT OF NETWORK BCBS PROVI",
            "identifier": "88507",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.