Individual provider Active NPI

Nicholas Damato, DC

  • Chiropractor
  • Glastonbury, CT
National Provider Identifier
1942528450
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001822 Issued in CT
Practice address
330 Naubuc Ave
Glastonbury, CT 06033-1011
Phone
(860) 410-4488
Fax
(860) 410-4492
NPI assigned
May 7, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1822 CT
Chiropractor 111N00000X 001822 CT Primary

Addresses

Primary practice location

330 Naubuc Ave
Glastonbury, CT 06033-1011

Mailing address

330 Naubuc Ave
Glastonbury, CT 06033-1011
Phone (860) 410-4488

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130708000047 CT Practitioner - Chiropractic 6709026255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Damato Chiropractic Center of Glastonbury LLCGroup PAC ID 0648594572, 3 clinicians

Practice addresses (Care Compare)

330 Naubuc Ave
Glastonbury, CT 06033-1011
Phone (860) 410-4488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001822CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Damato Chiropractic Center of Glastonbury, LLC Chiropractor CurrentSince Mar 2, 2015 Accepting new patients

Locations

330 Naubuc Ave
Glastonbury, CT 06033
Phone (860) 410-4488

730 Hebron Ave
Ste 4
Glastonbury, CT 06033
Phone (860) 410-4488

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": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1942528450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 NAUBUC AVE",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331011",
            "telephone_number": "860-410-4488",
            "fax_number": "860-410-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 NAUBUC AVE",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331011",
            "telephone_number": "860-410-4488",
            "fax_number": "860-410-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMATO",
        "first_name": "NICHOLAS",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-07",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "1822",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.