Individual provider Active NPI

John Anthony Lacoste

  • Sports Physician Chiropractor
  • Centerville, MA
National Provider Identifier
1255348090
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
1302 Issued in MA
Practice address
30 Camp Opechee Rd
Centerville, MA 02632-2433
Phone
(508) 778-2882
Fax
(508) 534-9621
NPI assigned
Aug 2, 2006
Last updated
Jan 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 1302 MA Primary

Addresses

Primary practice location

30 Camp Opechee Rd
Centerville, MA 02632-2433

Mailing address

PO Box 355
Centerville, MA 02632
Phone (508) 778-2882

Other names 1

  • John Anthony Lacoste Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060505000087 MA Practitioner - Chiropractic 4284645284 Practice locations: Centerville, MA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30 Camp Opechee Rd
Centerville, MA 02632-2433
Phone (508) 778-2882

Merit-based Incentive Payment System (MIPS)

Final score
22.95 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
John D. Campbell, D.C. Past Accepting new patients

Organizations & group practices 1

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1255348090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 355",
            "city": "CENTERVILLE",
            "state": "MA",
            "postal_code": "02632",
            "telephone_number": "508-778-2882",
            "fax_number": "508-534-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CAMP OPECHEE RD",
            "city": "CENTERVILLE",
            "state": "MA",
            "postal_code": "026322433",
            "telephone_number": "508-778-2882",
            "fax_number": "508-534-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACOSTE",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MA",
            "license": "1302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "LACOSTE",
            "middle_name": "ANTHONY",
            "credential": "D.C, C.C.S.P",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Centerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.