Individual provider Active NPI

Daniel Wayne Capitano, D.C.

  • Chiropractor
  • Portland, OR
National Provider Identifier
1073542783
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
273382 Issued in OR
Practice address
11125 NE Sandy Blvd
Portland, OR 97220-2555
Phone
(503) 257-3377
Fax
(503) 257-3432
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 273382 OR Primary

Addresses

Primary practice location

11125 NE Sandy Blvd
Portland, OR 97220-2555

Mailing address

11125 NE Sandy Blvd
Portland, OR 97220-2555
Phone (503) 257-3377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040224000878 OR Practitioner - Chiropractic 2567358864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capitano Chiropractic, PCGroup PAC ID 5890820518, 2 clinicians

Practice addresses (Care Compare)

316 NE 20TH Ave
Portland, OR 97232-2805
Phone (503) 230-0812

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
273382ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Capitano Chiropractic, PC Chiropractor CurrentSince Jan 5, 2010 Accepting new patients
Lester Tengsico LLC PastSince Dec 1, 2015 Accepting new patients

Locations

11125 NE Sandy Blvd
Portland, OR 97220
Phone (503) 257-3377

316 NE 20th Ave
Portland, OR 97232
Phone (503) 230-0812

12615 NE Halsey St
Portland, OR 97230
Phone (917) 377-1717

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263254400000",
    "number": "1073542783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11125 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972202555",
            "telephone_number": "503-257-3377",
            "fax_number": "503-257-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11125 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972202555",
            "telephone_number": "503-257-3377",
            "fax_number": "503-257-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPITANO",
        "first_name": "DANIEL",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2010-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "273382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.