Active NPI
Thomas More Manidis, D.C.
- Chiropractor
- Huntingdon Valley, PA
National Provider Identifier
1780704106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC011317
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH8425 | Other | FL | STATE LICENSE NUMBER |
| DC011317 | Other | PA | DC LICENSE |
| 88507 | Other | FL | OUT 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
| License | State | Type | Specialty |
|---|---|---|---|
| CH8425 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Palm-Aire Medical & Rehab Center
- Family Medicine Physician
- Pompano Beach, FL
- NPI 1043342512
Chiropractor
-
dba Ft. Lauderdale Chiro & Rehab Center
- Chiropractor
- Oakland Park, FL
- NPI 1366563025
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
- Allene S. Lyons, LCSW
- Evangeline Soriano Macatangay I, MD
- Paul Macdonald, MA
- Eric W Maier, LMT,NCTMB
- Zola Allan Makrauer, DMD
- Christy Janise Manoharan, L.P.C., N.C.C
- Manor Care of Huntingdon Valley PA, LLC (ProMedica Skilled Nursing and Rehabilitation (Huntingdon Valley))
- Manstein Surgical Assoc
- Carl Howard Manstein, MD
- Mark Eric Manstein, MD
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.