Sonya Didomenico-Young, DC

Primary specialty

Pediatric ChiropractorTaxonomy code 111NP0017X

License

1978 Issued in NC

Practice address

1319 Military Cutoff Rd
LL
Wilmington, NC 28405-3174

Phone

(910) 232-4022

NPI assigned

Oct 14, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1991

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Elite Chiropractic

  • Rehabilitation Chiropractor
  • Wilmington, NC
  • NPI 1194050740
  NPD (past) Authorized official

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1942535695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 MILITARY CUTOFF RD",
            "address_2": "LL",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053174",
            "telephone_number": "910-256-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 MILITARY CUTOFF RD",
            "address_2": "LL",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053174",
            "telephone_number": "910-232-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIDOMENICO-YOUNG",
        "first_name": "SONYA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-14",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "NC",
            "license": "1978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shante Dickey, LCSW
• Sharon Dickey, LCMHC
• Courtney Onnolee Dickinson, OT/L
• Katherine Dickson
• Nancy Stewart McLendon Dickson, PA-C
• Benjamin Diehl
• Sarah Dietz, PSYD
• Magdalena Mulhall Dietzgen, PT
• Walter Dietzgen, M.D.
• Mandy L Difelice

• Pediatric Chiropractor in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Pediatric Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.