Active NPI
Anthony J Badalamenti, DC
- Occupational Health Chiropractor
- Aurora, OH
National Provider Identifier
1073607339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Health Chiropractor
- License
- 1619
- Practice address
- 45 N Chillicothe Rd
Aurora, OH 44202-8702 - Phone
- (330) 562-3142
- Fax
- (330) 995-0230
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Health Chiropractor | 111NX0100X | 1619 | OH | Primary |
Addresses
Primary practice location
45 N Chillicothe Rd
Aurora, OH 44202-8702
Mailing address
45 N Chillicothe Rd
Aurora, OH 44202-8702
Phone (330) 562-3142
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0842735 | Medicaid | OH |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1619 | OH | MD | Occupational Health Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194220800000",
"number": "1073607339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 N CHILLICOTHE RD",
"city": "AURORA",
"state": "OH",
"postal_code": "442028702",
"telephone_number": "330-562-3142",
"fax_number": "330-995-0230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 N CHILLICOTHE RD",
"city": "AURORA",
"state": "OH",
"postal_code": "442028702",
"telephone_number": "330-562-3142",
"fax_number": "330-995-0230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADALAMENTI",
"first_name": "ANTHONY",
"middle_name": "J",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0100X",
"taxonomy_group": "",
"desc": "Chiropractor, Occupational Health",
"state": "OH",
"license": "1619",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0842735",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aurora, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.