Individual provider Active NPI

James J Sansone, D.C.

  • Sports Physician Chiropractor
  • Boardman, OH
National Provider Identifier
1619035359
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
414 Issued in OH
Practice address
6775 Applewood Blvd
Boardman, OH 44512-4940
Phone
(330) 758-2353
Fax
(330) 758-9733
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 414 OH Primary

Addresses

Primary practice location

6775 Applewood Blvd
Boardman, OH 44512-4940

Mailing address

6775 Applewood Blvd
Boardman, OH 44512-4940
Phone (330) 758-2353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
414OHMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lillibonn CurrentSince Mar 21, 2021 Accepting new patients

Locations

6775 Applewood Blvd
Youngstown, OH 44512
Phone (330) 758-2353

Organizations & group practices 1

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619035359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6775 APPLEWOOD BLVD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124940",
            "telephone_number": "330-758-2353",
            "fax_number": "330-758-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6775 APPLEWOOD BLVD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124940",
            "telephone_number": "330-758-2353",
            "fax_number": "330-758-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANSONE",
        "first_name": "JAMES",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OH",
            "license": "414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.