Diamond Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

F1-0000833 Issued in DE

Legal business name

DIAMOND CHIROPRACTIC LLC

Doing business as

Diamond Sport & Spine Clinic

Practice address

1426 N Clayton St
Wilmington, DE 19806-4006

Phone

(302) 300-4242

Fax

(302) 300-4241

NPI assigned

Jan 24, 2013

Last updated

Jun 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carl Bakomenko, D.C.NPI 1043574528

Title

Co-Owner

Phone

(302) 300-4242

Specialties & licenses 1

Addresses

Other names 1

• Diamond Sport & Spine Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Practitioners 4

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.

• Carl J Bakomenko, D.C.

  • Rehabilitation Chiropractor
  • Wilmington, DE
  • NPI 1043574528
  Medicare reassignment Care Compare group NPD Authorized official
• Matthew Paul Weik, D.C.

  • Rehabilitation Chiropractor
  • Wilmington, DE
  • NPI 1013203991
  Medicare reassignment Care Compare group NPD
• Kyle Lorin Ukrainyc, D.C.

  • Chiropractor
  • Wilmington, DE
  • NPI 1790017267
  NPD (past)
• Lindsay Nichole Ukrainyc, D.C.

  • Chiropractor
  • Wilmington, DE
  • NPI 1639401102
  NPD (past)

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1821336967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 N CLAYTON ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064006",
            "telephone_number": "302-300-4242",
            "fax_number": "302-300-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 N CLAYTON ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064006",
            "telephone_number": "302-300-4242",
            "fax_number": "302-300-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "BAKOMENKO",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "302-300-4242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0000833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diamond Sport & Spine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Manisha Dhuria, MD
• Michael Joseph Di Salvo, LCSW
• Jocelyn Mary Dialectos
• Keri Ann Dialessandro, PA-C
• Thomas Diamanty, DC
• Diamond Medical Supplies LLC
• Diamond State Therapy
• Diamond State Vascular Interventional LLC
• Diamond State Youth, Inc. (Diamond State Youth Behavioral Health System)
• Nicole Diamond

• Chiropractor in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Chiropractor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.

Verify at the official NPI Registry.