Active NPI
Joshua Iannetta, DO
- Neuromusculoskeletal Medicine & OMM Physician
- Scarborough, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 1897
- Practice address
- 632 US Route 1
Scarborough, ME 04074-9794 - Phone
- (207) 883-1003
- Fax
- (207) 883-5322
- NPI assigned
- Jul 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 1897 | ME | Primary |
Addresses
Primary practice location
632 US Route 1
Scarborough, ME 04074-9794
Mailing address
632 US Route 1
Scarborough, ME 04074-9794
Phone (207) 883-1003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070816000372 | ME | Practitioner - Osteopathic Manipulative Medicine | 7618069931 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Osteopathic Manipulative Medicine
- Education
- University of New England, College of Osteo Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
632 US Route 1
Scarborough, ME 04074
Iannetta Osteopathic Manipulation
632 US Route 1
Scarborough, ME 04074
Phone (207) 883-1003
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1897 | ME | MD | Neuromusculoskeletal Medicine & OMM Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| University of New England | Neuromusculoskeletal Medicine & Omm | Current | Accepting new patients |
| Webber Hospital Association | Current | Accepting new patients | |
| University of New England | Current | Accepting new patients | |
| Iannetta Manipulation LLC | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Iannetta Medical Services Inc | Past | Accepting new patients |
Locations
1 Medical Dr
Biddeford, ME 04005
Phone (207) 283-7000
716 Stevens Ave
Portland, ME 04103
Phone (207) 221-4242
632 US Route 1
Scarborough, ME 04074
Phone (207) 883-1003
Interoperability endpoints
- jianetta@jlanetta.ssdirect.aprima.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Biddeford, ME
- NPI 1699752055
ME, Neuromusculoskeletal Medicine & Omm
-
- Skilled Nursing Facility
- Sanford, ME
- NPI 1447342209
-
- Physical Therapist
- Portland, ME
- NPI 1811974124
-
- Pediatrics Physician
- Kennebunk, ME
- NPI 1194902809
-
- Chiropractor
- Dover Foxcroft, ME
- NPI 1841205408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325635200000",
"number": "1508065210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "632 US ROUTE 1",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040749794",
"telephone_number": "207-883-1003",
"fax_number": "207-883-5322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "632 US ROUTE 1",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040749794",
"telephone_number": "207-883-1003",
"fax_number": "207-883-5322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IANNETTA",
"first_name": "JOSHUA",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-12",
"last_updated": "2012-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "ME",
"license": "1897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scarborough, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.