Organization Active NPI

Cape Chiropractic Group LLC

  • Chiropractor
  • Centerville, MA
National Provider Identifier
1427227594
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CAPE CHIROPRACTIC GROUP LLC
Practice address
1665 Falmouth Rd
Centerville, MA 02632-2944
Phone
(508) 778-5005
Fax
(508) 778-5006
NPI assigned
Feb 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Authorized official

Name
Dr. Brian V Avitabile, DCNPI 1730161183
Title
Owner
Phone
(508) 778-5005

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 Primary

Addresses

Primary practice location

1665 Falmouth Rd
Centerville, MA 02632-2944

Mailing address

1665 Falmouth Rd
Centerville, MA 02632-2944
Phone (508) 778-5005

Other practice location 1

632 Main St
Dennis, MA 02638-1906
Phone (508) 385-9999

Other identifiers 3

IdentifierTypeStateIssuer
110084899AMedicaidMA
Y40145OtherMABCBS MA
686094OtherMATUFTS HEALTH PLAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080515000490 MA Part B Supplier - Clinic/Group Practice 2264501394 Receives reassigned benefits from 3 practitioners
Practice locations: Centerville, MA; Dennis, MA

National Provider Directory

National Provider Directory

Locations

1665 Falmouth Rd
Centerville, MA 02632
Phone (508) 778-5005

632 Main St
Dennis, MA 02638
Phone (508) 385-9999

Practitioners & affiliated clinicians

Practitioners 6

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": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1427227594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 FALMOUTH RD",
            "city": "CENTERVILLE",
            "state": "MA",
            "postal_code": "026322944",
            "telephone_number": "508-778-5005",
            "fax_number": "508-778-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 FALMOUTH RD",
            "city": "CENTERVILLE",
            "state": "MA",
            "postal_code": "026322944",
            "telephone_number": "508-778-5005",
            "fax_number": "508-778-5006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "632 Main St",
            "address_purpose": "LOCATION",
            "city": "Dennis",
            "state": "MA",
            "postal_code": "026381906",
            "country_code": "US",
            "telephone_number": "508-385-9999",
            "fax_number": "508-385-4590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAPE CHIROPRACTIC GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "AVITABILE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-778-5005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110084899A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "Y40145",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "686094",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 18, 2019; 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.