Individual provider Active NPI

Stephen Lee Pinti, D. C.

  • Chiropractor
  • Clarksburg, WV
National Provider Identifier
1225112774
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
WV654 Issued in WV
Practice address
135 Cimarron Rd
Clarksburg, WV 26301-4374
Phone
(304) 623-5551
Fax
(304) 623-5552
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X WV654 WV Primary

Addresses

Primary practice location

135 Cimarron Rd
Clarksburg, WV 26301-4374

Mailing address

135 Cimarron Rd
Clarksburg, WV 26301-4374
Phone (304) 623-5551

Other identifiers 1

IdentifierTypeStateIssuer
0132236000MedicaidWV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031105000365 WV Practitioner - Chiropractic 0042122236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

135 Cimarron Rd
Clarksburg, WV 26301-4312

145 Ashmore Dr
Bridgeport, WV 26330-9659
Phone (304) 623-5551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
WV654WVMDChiropractor
654WVMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Best Chiropractic Clinic Inc Chiropractor Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1225112774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 CIMARRON RD",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263014374",
            "telephone_number": "304-623-5551",
            "fax_number": "304-623-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 CIMARRON RD",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263014374",
            "telephone_number": "304-623-5551",
            "fax_number": "304-623-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINTI",
        "first_name": "STEPHEN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D. C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "WV654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0132236000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.