Organization Active NPI

Noel S Cappillo DC PC

  • Chiropractor
  • Wellesley, MA
National Provider Identifier
1184819989
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2600 Issued in MA
Legal business name
NOEL S CAPPILLO DC PC
Practice address
148 Linden St
Suite 101
Wellesley, MA 02482-7900
Phone
(781) 237-5118
NPI assigned
Sep 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Authorized official

Name
Noel S Cappillo, DCNPI 1295899870
Title
President
Phone
(781) 237-5118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2600 MA Primary

Addresses

Primary practice location

148 Linden St
Suite 101
Wellesley, MA 02482-7900

Mailing address

148 Linden St
Suite 101
Wellesley, MA 02482-7900
Phone (781) 237-5118

Other identifiers 1

IdentifierTypeStateIssuer
NOY49105OtherMAMEDICARE GROUP #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031124000044 MA Part B Supplier - Clinic/Group Practice 8820992605 Receives reassigned benefits from 1 practitioner
Practice locations: Wellesley, MA

National Provider Directory

National Provider Directory

Locations

148 Linden St
Ste 101
Wellesley, MA 02482
Phone (781) 237-5118

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1184819989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 LINDEN ST",
            "address_2": "SUITE 101",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024827900",
            "telephone_number": "781-237-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 LINDEN ST",
            "address_2": "SUITE 101",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024827900",
            "telephone_number": "781-237-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOEL S CAPPILLO DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "CAPPILLO",
        "authorized_official_first_name": "NOEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-237-5118",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "NOY49105",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.