Individual provider Active NPI

John Anthony Montesano, DC

  • Chiropractor
  • West Mifflin, PA
National Provider Identifier
1528014115
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009589 Issued in PA
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

Updated by the provider on Apr 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
MO1828970OtherPAHIGHMARK
101532733 0001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
DC009589PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Steel City Chiropractic, LLC Chiropractor CurrentSince Aug 4, 2008 Accepting new patients
Baker Chiropractic & Rehabilitation, Inc Chiropractor PastSince Jun 1, 2002 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.

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.

Verify at the official NPI Registry.