Stephen Tyler Divito, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X009211 Issued in NY

Practice address

572 Titus Ave
Suite C
Rochester, NY 14617-3519

Phone

(585) 544-4077

Fax

(585) 544-4070

NPI assigned

Mar 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1972562429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 TITUS AVE",
            "address_2": "SUITE C",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146173519",
            "telephone_number": "585-544-4077",
            "fax_number": "585-544-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 TITUS AVE",
            "address_2": "SUITE C",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146173519",
            "telephone_number": "585-544-4077",
            "fax_number": "585-544-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVITO",
        "first_name": "STEPHEN",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID NO",
            "identifier": "16-1562329",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diverse Mosaic Community Center Inc
• Diversified Dental Service
• Caitlyn Divincenzo, NP
• Berana Divine, RRT
• Michael Vincent Divito, RPAC
• Gabrielle Dix, PA
• Malcolm Lamar Dix, M.D., M.S
• Tyler Dix
• Robert Lawson Dixon-Gordon, M.D.
• Anastacia L. Dixon

• Chiropractor in Rochester, NY
• Providers in Rochester, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.