Individual provider Active NPI

Alfred Louis Pinto, D.C.

  • Chiropractor
  • Mishawaka, IN
National Provider Identifier
1700949922
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
008001788A Issued in IN
Practice address
212 W Edison Rd
Suite B
Mishawaka, IN 46545-8301
Phone
(574) 254-1400
Fax
(574) 254-1650
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 008001788A IN Primary

Addresses

Primary practice location

212 W Edison Rd
Suite B
Mishawaka, IN 46545-8301

Mailing address

229 Red Coach Dr
Ste 106
Mishawaka, IN 46545-3195
Phone (574) 254-1400

Other identifiers 1

IdentifierTypeStateIssuer
200174450MedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120315000101 IN Practitioner - Chiropractic 2062481849 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine and Joint Associates of Mishawaka IncGroup PAC ID 2163749524, 3 clinicians

Practice addresses (Care Compare)

229 Red Coach Dr
Suite 106
Mishawaka, IN 46545-3195
Phone (574) 318-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008001788AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Spine and Joint Associates of Mishawaka, Inc Chiropractor CurrentSince Apr 1, 2015 Accepting new patients

Locations

229 Red Coach Dr
Mishawaka, IN 46545
Phone (574) 252-7795

229 Red Coach Dr
Ste 107
Mishawaka, IN 46545
Phone (574) 318-7800

229 Red Coach Dr
Ste 106
Mishawaka, IN 46545
Phone (574) 318-7800

Organizations & group practices 2

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1700949922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 RED COACH DR",
            "address_2": "STE 106",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453195",
            "telephone_number": "574-254-1400",
            "fax_number": "574-254-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W EDISON RD",
            "address_2": "SUITE B",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465458301",
            "telephone_number": "574-254-1400",
            "fax_number": "574-254-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINTO",
        "first_name": "ALFRED",
        "middle_name": "LOUIS",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "008001788A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200174450",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.