1. Home
  2. Directory
  3. Oregon
  4. Medford
  5. Chiropractor
  6. NPI Profile

D'ANTONIO CHIROPRACTIC CLINIC LLC
NPI 1790294783
Chiropractor in Medford, OR

Active since September 22, 2017
10 CRATER LAKE AVE, MEDFORD, OR 97504(541) 608-0169 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Sep 22, 2017 (2 updates tracked since 2017).

About D'antonio Chiropractic Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

D'ANTONIO CHIROPRACTIC CLINIC LLC (NPI 1790294783) is a healthcare organization registered as a chiropractor in Medford, Oregon and active in the NPI registry since September 2017. The organization lists Deirdre D'antonio, Employee, as its authorized official.

NPPES Registry Identity

NPI1790294783
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameD'ANTONIO CHIROPRACTIC CLINIC LLC
Location Address10 CRATER LAKE AVEMedford, OR 97504-7445
Mailing Address10 Crater Lake AveMedford, OR 97504-7445 · (541) 608-0169
Phone(541) 608-0169
Organization SubpartNo
Authorized OfficialDeirdre D'antonioEmployee · (541) 608-0169
Enumeration DateSeptember 22, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1790294783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OR · 2576
Definition
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.
10 CRATER LAKE AVE, Medford, OR 97504
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

D'antonio Chiropractic Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to D'antonio Chiropractic Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Deirdre Dantonio, D.C.
Chiropractic
NPI 1508053158
10 CRATER LAKE AVE
Medford, OR 97504
(541) 608-0169
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is D'antonio Chiropractic Clinic LLC's NPI number?

The NPI number for D'antonio Chiropractic Clinic LLC is 1790294783. It was assigned to this organization in the NPPES registry on September 22, 2017.

Where is D'antonio Chiropractic Clinic LLC located?

D'antonio Chiropractic Clinic LLC is located at 10 Crater Lake Ave, Medford, OR 97504. The listed phone number is (541) 608-0169.

What is D'antonio Chiropractic Clinic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is D'antonio Chiropractic Clinic LLC enrolled in Medicare?

Yes. D'antonio Chiropractic Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through D'antonio Chiropractic Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to D'antonio Chiropractic Clinic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for D'antonio Chiropractic Clinic LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.