Individual provider Active NPI

Michael Anthony Ielapi II, D.C.

  • Chiropractor
  • Bridgeport, WV
National Provider Identifier
1457422826
Registry record updated Aug 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
WV732 Issued in WV
Practice address
101 T Steele Street
Bridgeport, WV 26330
Phone
(304) 842-7678
Fax
(304) 842-5973
NPI assigned
Nov 10, 2006
Last updated
Aug 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X WV732 WV Primary

Addresses

Primary practice location

101 T Steele Street
Bridgeport, WV 26330

Mailing address

101 T Steele St
Bridgeport, WV 26330-1068
Phone (304) 842-7678

Other identifiers 1

IdentifierTypeStateIssuer
WV732OtherWVHEALTH PLAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051222000201 WV Practitioner - Chiropractic 8022030758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridgeport Family ChiropracticGroup PAC ID 8224073861, 2 clinicians

Practice addresses (Care Compare)

150 E Philadelphia Ave
Bridgeport, WV 26330-1520
Phone (304) 842-7678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
932WVMDPsychologist
WV732WVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeport Family Chiropractic Chiropractor CurrentSince Aug 3, 2010 Accepting new patients
Romesburg's North Central Chiropractic Clinic Chiropractor Past Accepting new patients

Locations

150 E Philadelphia Ave
Bridgeport, WV 26330
Phone (304) 842-7678

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281830400000",
    "number": "1457422826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 T STEELE ST",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301068",
            "telephone_number": "304-842-7678",
            "fax_number": "304-842-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 T STEELE STREET",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "26330",
            "telephone_number": "304-842-7678",
            "fax_number": "304-842-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IELAPI",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_suffix": "II",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2010-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "WV732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN",
            "identifier": "WV732",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2010; 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.