Individual provider Active NPI

Nunzio Peter Pagano Sr., DC

  • Chiropractor
  • New Martinsville, WV
National Provider Identifier
1639279730
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
237 Issued in WV
Practice address
901 N State Route 2
Ste 1
New Martinsville, WV 26155-2560
Phone
(304) 455-6444
Fax
(304) 455-6011
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 237 WV Primary

Addresses

Primary practice location

901 N State Route 2
Ste 1
New Martinsville, WV 26155-2560

Mailing address

1335 N State Route 2
New Martinsville, WV 26155-2524
Phone (304) 455-6444

Other identifiers 5

IdentifierTypeStateIssuer
000190839OtherWVBCBS
409013775OtherRAILROAD MEDICARE
0131287000MedicaidWV
52450OtherWVUNICARE
1025175OtherWVBRICKSTREET WORKER'S COMP

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

Practice roles

OrganizationSpecialtyStatusNew patients
Knowlton Chiropractic PLLC Chiropractor CurrentSince Mar 24, 2024 Accepting new patients
Elk River Chiropractic Center Inc Chiropractor Past Accepting new patients
Hope Medical Center, Inc. Past Accepting new patients
Nunzio P. Pagano CC Chiropractor Past Accepting new patients

Locations

901 N State Route 2
Ste 1
New Martinsville, WV 26155
Phone (304) 455-6444

Organizations & group practices 4

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1639279730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 N STATE ROUTE 2",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261552524",
            "telephone_number": "304-455-6444",
            "fax_number": "304-455-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N STATE ROUTE 2",
            "address_2": "STE 1",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261552560",
            "telephone_number": "304-455-6444",
            "fax_number": "304-455-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGANO",
        "first_name": "NUNZIO",
        "middle_name": "PETER",
        "name_suffix": "Sr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000190839",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "409013775",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0131287000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "52450",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRICKSTREET WORKER'S COMP",
            "identifier": "1025175",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Martinsville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.