Organization Active NPI

Bompiani Spine & Sport LLC

  • Chiropractor
  • Latrobe, PA
National Provider Identifier
1194274324
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-010130 Issued in PA
Legal business name
BOMPIANI SPINE & SPORT LLC
Practice address
2700 Sharkys Dr
Latrobe, PA 15650-4230
Phone
(724) 240-3016
NPI assigned
Sep 29, 2016
Last updated
Feb 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Dr. Luka J BompianiNPI 1023247343
Title
Owner/Chiropractor
Phone
(724) 331-2607

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
Chiropractor 111N00000X DC-010130 PA Primary

Addresses

Primary practice location

2700 Sharkys Dr
Latrobe, PA 15650-4230

Mailing address

2700 Sharkys Dr
Latrobe, PA 15650-4230
Phone (724) 237-6531

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170406000542 PA Part B Supplier - Clinic/Group Practice 4486930435 Receives reassigned benefits from 3 practitioners
Practice locations: Latrobe, PA

National Provider Directory

National Provider Directory

Locations

2700 Sharkys Dr
Latrobe, PA 15650
Phone (724) 240-3016

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1194274324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 SHARKYS DR",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156504230",
            "telephone_number": "724-237-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 SHARKYS DR",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156504230",
            "telephone_number": "724-240-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOMPIANI SPINE & SPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-29",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "BOMPIANI",
        "authorized_official_first_name": "LUKA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "724-331-2607",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-010130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latrobe, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.