Individual provider Active NPI

Anthony Johns Cespites, DC

  • Chiropractor
  • Canonsburg, PA
National Provider Identifier
1124009808
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009151 Issued in PA
Practice address
167 E Pike St
Canonsburg, PA 15317-1765
Phone
(724) 916-4277
Fax
(725) 916-4614
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009151 PA Primary

Addresses

Primary practice location

167 E Pike St
Canonsburg, PA 15317-1765

Mailing address

167 E Pike St
Canonsburg, PA 15317-1765
Phone (724) 916-4277

Other identifiers 7

IdentifierTypeStateIssuer
152361OtherPA3 RIVERS HP PROVIDER ID
3477981OtherPAAETNA PROVIDER ID
1281454OtherPACIGNA PROVIDER ID
1566562OtherPAHIGHMARK PROVIDER ID
410194OtherPWUPMC HEALTH PLAN ID
1539293OtherPAGATEWAY HP PROVIDER ID
009731990001MedicaidPA

Other names 1

  • Dr. Tony Johns Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040629000458 PA Practitioner - Chiropractic 8426034430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

167 E Pike St
Canonsburg, PA 15317-1765
Phone (724) 916-4277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC009151PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Natural Wellness Chiropractic Center, Inc. Chiropractor CurrentSince Dec 1, 2016 Accepting new patients
Choice Restorative Medicine LLC. Past Accepting new patients
Chiropractic Associates of Cranberry, LLC Chiropractor Past Accepting new patients

Locations

167 E Pike St
Canonsburg, PA 15317
Phone (724) 745-1666

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1124009808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 E PIKE ST",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153171765",
            "telephone_number": "724-916-4277",
            "fax_number": "725-916-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 E PIKE ST",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153171765",
            "telephone_number": "724-916-4277",
            "fax_number": "725-916-4614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CESPITES",
        "first_name": "ANTHONY",
        "middle_name": "JOHNS",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "3 RIVERS HP PROVIDER ID",
            "identifier": "152361",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "3477981",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER ID",
            "identifier": "1281454",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PROVIDER ID",
            "identifier": "1566562",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HEALTH PLAN ID",
            "identifier": "410194",
            "state": "PW"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HP PROVIDER ID",
            "identifier": "1539293",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009731990001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONY",
            "last_name": "JOHNS",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canonsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.