D'ANTONIO CHIROPRACTIC CLINIC LLC (NPI# 1790294783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790294783 |
| Entity Type | Organization |
| Organization Name | D'ANTONIO CHIROPRACTIC CLINIC LLC |
| Practice Address |
10 Crater Lake Ave Medford OR 97504-7445 |
| Practice Telephone | (541) 608-0169 |
| Mailing Telephone | 5416080169 |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2017-09-22 |
| Authorized Official Name | DEIRDRE D'ANTONIO (EMPLOYEE) |
| Authorized Official Telephone | 5416080169 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2576 | OR | Chiropractic Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | D'ANTONIO CHIROPRACTIC CLINIC LLC | 10 Crater Lake Ave, Medford, OR 97504 |
| Street Address |
10 CRATER LAKE AVE |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-7445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720184880 | Linda S. Stead | Social Worker | 10 Crater Lake Ave, Medford, OR 97504-7445 | 2006-09-16 |
| 1679025811 | Anna Lambertson, Md, Inc. | Preventive Medicine | 10 Crater Lake Ave, Suite 5, Medford, OR 97504-7445 | 2016-11-03 |
| 1255579306 | Southern Oregon Professional Care Services, Inc. | Home Health | 10 Crater Lake Ave, Suite 7, Medford, OR 97504-7445 | 2009-01-28 |
| 1508053158 | Deirdre Leigh Dantonio | Chiropractor | 10 Crater Lake Ave, Medford, OR 97504-7445 | 2007-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033620687 | Steve Issac Santoni | Chiropractor | 4149 S Pacific Hwy Ste 434, Medford, OR 97501-9104 | 2017-10-22 |
| 1568984714 | Trisha Anne Sileo | Chiropractor | 99 Taunton Rd # 101, Medford, NJ 08055-9362 | 2017-07-10 |
| 1366824450 | Johann L. Towne | Chiropractor | 945 Town Centre Dr Ste C, Medford, OR 97504-6190 | 2015-06-24 |
| 1073934204 | Degre Chiropractic LLC | Chiropractor | 92 High St Ste Dh32, Medford, MA 02155-3843 | 2013-12-13 |
| 1023445327 | Corey O'neill | Chiropractor | 943 Automation Way, A1, Medford, OR 97504-4192 | 2013-10-01 |
| 1376888941 | Mlm Chiropractic, LLC | Chiropractor | 133-b Jackson Rd, Medford, NJ 08055 | 2012-12-07 |
| 1912241092 | 495 Chiropractic, PC | Chiropractor | 570 Expressway Dr S, Suite 2c, Medford, NY 11763-2049 | 2012-11-15 |
| 1003188509 | Samuel Robert Klinner | Chiropractor | 115 E Perkins St, Medford, WI 54451-1852 | 2012-01-31 |
| 1285869040 | Mc Chiropractic | Chiropractor | 1550 Biddle Rd, Ste. D, Medford, OR 97504-4691 | 2009-05-22 |
| 1992981450 | Anthony Francis Micucci | Chiropractor | 170 Kettles Ln, Medford, NY 11763-1552 | 2008-01-15 |
| Find all providers in MEDFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.