Kevin Dibella, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

200001315013 Issued in NC

Legal business name

KEVIN DIBELLA, P.C.

Practice address

528 Union Rd
Gastonia, NC 28054-4450

Phone

(704) 867-1010

Fax

(704) 868-2602

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Larissa Snyder Dibella, DC

Title

Doctor of Chiropractic

Phone

(704) 867-1010

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DiBella Chiropractic Center Former legal business name

Locations

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1821183534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 UNION RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544450",
            "telephone_number": "704-867-1010",
            "fax_number": "704-868-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 UNION RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544450",
            "telephone_number": "704-867-1010",
            "fax_number": "704-868-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN DIBELLA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "DIBELLA",
        "authorized_official_first_name": "LARISSA",
        "authorized_official_middle_name": "SNYDER",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "704-867-1010",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "200001315013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890282P",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DiBella Chiropractic Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Benjamin Keyser
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• Chiropractor in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.