Individual provider Active NPI

John Samuel Caponio, D.C.

  • Chiropractor
  • Pleasant Hill, CA
National Provider Identifier
1295006831
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC31548 Issued in CA
Practice address
401 Gregory LN Ste 108
Pleasant Hill, CA 94523-2851
Phone
(925) 818-6894
Fax
(844) 726-0537
NPI assigned
Jan 12, 2012
Last updated
May 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 31548 CA
Chiropractor 111N00000X DC31548 CA Primary

Addresses

Primary practice location

401 Gregory LN Ste 108
Pleasant Hill, CA 94523-2851

Mailing address

401 Gregory LN Ste 108
Pleasant Hill, CA 94523-2851
Phone (925) 818-6894

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230105002898 CA Practitioner - Chiropractic 8426428590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

401 Gregory LN
Suite 108
Pleasant Hill, CA 94523-2851
Phone (925) 818-6894

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC31548CAMDChiropractor
31548CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Caponio Chiropractic Inc. Chiropractor CurrentSince Sep 23, 2022 Accepting new patients

Locations

140 Mayhew Way
Ste 502
Pleasant Hill, CA 94523
Phone (925) 818-6894

401 Gregory Ln
Ste 108
Pleasant Hill, CA 94523
Phone (925) 798-3161

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, 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": "1326326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1295006831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 GREGORY LN STE 108",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232851",
            "telephone_number": "925-818-6894",
            "fax_number": "844-726-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 GREGORY LN STE 108",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232851",
            "telephone_number": "925-818-6894",
            "fax_number": "844-726-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPONIO",
        "first_name": "JOHN",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-12",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31548",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC31548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.