Individual provider Active NPI

Damion S Loperfito, DC

  • Chiropractor
  • Altamonte Springs, FL
National Provider Identifier
1790837680
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7286 Issued in FL
Practice address
609 Maitland Ave
Suite 4
Altamonte Springs, FL 32701-6840
Phone
(407) 260-0636
Fax
(407) 260-1619
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7286 FL Primary

Addresses

Primary practice location

609 Maitland Ave
Suite 4
Altamonte Springs, FL 32701-6840

Mailing address

609 Maitland Ave
Suite 4
Altamonte Springs, FL 32701-6840
Phone (407) 260-0636

Other identifiers 2

IdentifierTypeStateIssuer
55527OtherFLBCBS
CH7286OtherFLLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120405000610 FL Practitioner - Chiropractic 7719148469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

609 Maitland Ave
Suite 4
Altamonte Springs, FL 32701-6840
Phone (407) 767-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Care, Inc. Chiropractor CurrentSince Sep 1, 2001 Accepting new patients

Locations

609 Maitland Ave
Ste 4
Altamonte Springs, FL 32701
Phone (407) 331-4325

Organizations & group practices 1

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790837680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 MAITLAND AVE",
            "address_2": "SUITE 4",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327016840",
            "telephone_number": "407-260-0636",
            "fax_number": "407-260-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 MAITLAND AVE",
            "address_2": "SUITE 4",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327016840",
            "telephone_number": "407-260-0636",
            "fax_number": "407-260-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPERFITO",
        "first_name": "DAMION",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "55527",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "CH7286",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.