Active NPI
Stephen a. Antinoro, D.C.
- Chiropractor
- Windber, PA
National Provider Identifier
1497977052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-004330-L
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1500214 | Other | PA | GATEWAY |
| 104779 | Other | PA | UNISON |
| 0012510050001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
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.