Organization Active NPI

Stephen a. Antinoro, D.C.

  • Chiropractor
  • Windber, PA
National Provider Identifier
1497977052
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-004330-L Issued in PA
Legal business name
STEPHEN A. ANTINORO, D.C.
Practice address
2100 Graham Ave
Windber, PA 15963
Phone
(814) 467-5428
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stephen A. Antinoro, D.C.
Title
Chiropractor
Phone
(814) 467-5428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC-004330-L PA Primary

Addresses

Primary practice location

2100 Graham Ave
Windber, PA 15963

Mailing address

2100 Graham Ave
Windber, PA 15963
Phone (814) 467-5428

Other identifiers 3

IdentifierTypeStateIssuer
1500214OtherPAGATEWAY
104779OtherPAUNISON
0012510050001MedicaidPA

National Provider Directory

National Provider Directory

Locations

2100 Graham Ave
Windber, PA 15963
Phone (814) 467-5428

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497977052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 GRAHAM AVE",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "15963",
            "telephone_number": "814-467-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 GRAHAM AVE",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "15963",
            "telephone_number": "814-467-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN A. ANTINORO, D.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANTINORO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "814-467-5428",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-004330-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1500214",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "104779",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012510050001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windber, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.