Peter Anthony Costantino Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301005635 Issued in MI

Practice address

29856 Schoenherr Rd
Suite 2
Warren, MI 48088-3600

Phone

(586) 443-5000

Fax

(586) 443-5002

NPI assigned

Mar 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Peter a Costantino Jr DC PC

  • Chiropractor
  • Warren, MI
  • NPI 1568591063
  NPD (past) Authorized official
• Thomas G. Smith, D.C., PLC

  • Chiropractor
  • Warren, MI
  • NPI 1508195090
  NPD (past)

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124157623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29856 SCHOENHERR RD",
            "address_2": "SUITE 2",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883600",
            "telephone_number": "586-443-5000",
            "fax_number": "586-443-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29856 SCHOENHERR RD",
            "address_2": "SUITE 2",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883600",
            "telephone_number": "586-443-5000",
            "fax_number": "586-443-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTANTINO",
        "first_name": "PETER",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "950E053280",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor Corondan, M.D.
• Amy Lynn Correa, MPT
• Tony Corsi
• Tony P Corsi, D.D.S.
• Brittany Costa
• Sheila Michels Cote, L.M.S.W
• Matthew Edward Cothron
• Jay Cotton
• Hollie Lynn Coury, OTR
• David Scott Coviak, D.D.S., M.D.

• Chiropractor in Warren, MI
• Providers in Warren, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.