NPI Code Detail JSON Logo

1346206703 NPI number — TIMOTHY JOSEPH DELMEDICO DC

NPI Number: 1346206703
Health Care Provider/Practitioner: TIMOTHY JOSEPH DELMEDICO DC

Information about “1346206703” NPI (TIMOTHY JOSEPH DELMEDICO DC) exists in 1346206703 in HTML format HTML  |  1346206703 in plain Text format TXT  |  1346206703 in PDF (Portable Document Format) PDF  |  1346206703 in an XML format XML  formats.

NPI Number : 1346206703 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346206703",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DELMEDICO",
    "FirstName": "TIMOTHY",
    "MiddleName": "JOSEPH",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2709 GENESEE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "UTICA",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "13501-6222",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "315-797-1908",
    "MailingAddressFaxNumber": "315-797-1193",
    "FirstLinePracticeLocationAddress": "2709 GENESEE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "UTICA",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "13501-6222",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "315-797-1908",
    "PracticeLocationAddressFaxNumber": "315-797-1193",
    "EnumerationDate": "04/25/2006",
    "LastUpdateDate": "10/03/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "111N00000X",
        "TaxonomyName": "Chiropractor",
        "LicenseNumber": "X010285",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.