Individual provider Active NPI

Anthony-Jared Lino, D.C.

  • Chiropractor
  • Mentor, OH
National Provider Identifier
1679018501
Registry record updated Jan 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4673 Issued in OH
Practice address
8515 Mentor Ave
Mentor, OH 44060-5818
Phone
(440) 255-9355
Fax
(440) 255-3410
NPI assigned
Jan 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4673 OH Primary

Addresses

Primary practice location

8515 Mentor Ave
Mentor, OH 44060-5818

Mailing address

8515 Mentor Ave
Mentor, OH 44060-5818
Phone (440) 255-9355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170413001815 OH Practitioner - Chiropractic 8123304797 Practice locations: Mentor, OH

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8515 Mentor Ave
Mentor, OH 44060-5818
Phone (440) 255-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4673OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Health Solutions LLC PastSince Mar 15, 2017 Accepting new patients

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": "1483315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483315200000",
    "number": "1679018501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8515 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605818",
            "telephone_number": "440-255-9355",
            "fax_number": "440-255-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8515 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605818",
            "telephone_number": "440-255-9355",
            "fax_number": "440-255-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINO",
        "first_name": "ANTHONY-JARED",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-02",
        "last_updated": "2017-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2017; 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.