Active NPI
John Anthony Montesano, DC
- Chiropractor
- West Mifflin, PA
National Provider Identifier
1528014115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC009589
- Practice address
- 305 Camp Hollow Rd
West Mifflin, PA 15122-2604 - Phone
- (412) 469-9600
- Fax
- (412) 469-9901
- NPI assigned
- May 25, 2006
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC009589 | PA | Primary |
Addresses
Primary practice location
305 Camp Hollow Rd
West Mifflin, PA 15122-2604
Mailing address
305 Camp Hollow Rd
West Mifflin, PA 15122-2604
Phone (412) 469-9600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MO1828970 | Other | PA | HIGHMARK |
| 101532733 0001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060814000281 | PA | Practitioner - Chiropractic | 0648273698 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1021 Lebanon Rd
West Mifflin, PA 15122-1035
Phone (412) 205-3094
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC009589 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steel City Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
| Baker Chiropractic & Rehabilitation, Inc | Chiropractor | Past | Accepting new patients |
| Steel City Chiropractic, LLC | Chiropractor | Past | Accepting new patients |
Locations
1021 Lebanon Rd
West Mifflin/Pleasant Hills, PA 15122
Phone (412) 205-3094
Organizations & group practices 3
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.
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- NPI 1922053743
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- Chiropractor
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- NPI 1316367634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207699200000",
"number": "1528014115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 CAMP HOLLOW RD",
"city": "WEST MIFFLIN",
"state": "PA",
"postal_code": "151222604",
"telephone_number": "412-469-9600",
"fax_number": "412-469-9901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 CAMP HOLLOW RD",
"city": "WEST MIFFLIN",
"state": "PA",
"postal_code": "151222604",
"telephone_number": "412-469-9600",
"fax_number": "412-469-9901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTESANO",
"first_name": "JOHN",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2008-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC009589",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "MO1828970",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101532733 0001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Mifflin, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.