Active NPI
Stephen Blaise Diccianni, D.C.
- Chiropractor
- New York, NY
National Provider Identifier
1982734190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X-003415-1
- Practice address
- 15 W 44TH St
8TH. Floor
New York, NY 10036-6611 - Phone
- (212) 944-0707
- Fax
- (212) 840-6375
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X-003415-1 | NY | Primary |
Addresses
Primary practice location
15 W 44TH St
8TH. Floor
New York, NY 10036-6611
Mailing address
15 W 44TH St
8TH. Floor
New York, NY 10036-6611
Phone (212) 944-0707
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C-003415-1 | Other | NY | NY WORKERS COMP. # |
| P3623491 | Other | NY | OXFORD I.D. # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X-003415-1 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982734190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 W 44TH ST",
"address_2": "8TH. FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100366611",
"telephone_number": "212-944-0707",
"fax_number": "212-840-6375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 W 44TH ST",
"address_2": "8TH. FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100366611",
"telephone_number": "212-944-0707",
"fax_number": "212-840-6375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICCIANNI",
"first_name": "STEPHEN",
"middle_name": "BLAISE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X-003415-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY WORKERS COMP. #",
"identifier": "C-003415-1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD I.D. #",
"identifier": "P3623491",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.