Individual provider Active NPI

Paul Eliseo Caputo, D.C.

  • Chiropractor
  • Clearwater, FL
National Provider Identifier
1740451764
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 8891 Issued in FL
Practice address
407 N Belcher Rd
Suite 4
Clearwater, FL 33765-2608
Phone
(727) 791-9355
Fax
(727) 724-9190
NPI assigned
Mar 18, 2008
Last updated
Feb 12, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 8891 FL Primary

Addresses

Primary practice location

407 N Belcher Rd
Suite 4
Clearwater, FL 33765-2608

Mailing address

407 N Belcher Rd
Suite 4
Clearwater, FL 33765-2608
Phone (727) 791-9355

Other identifiers 1

IdentifierTypeStateIssuer
3821561 00MedicaidFL

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
CH 8891FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Physical Medicine LLC Chiropractor Past Accepting new patients
Pinellas County Physical Medicine LLC Chiropractor PastSince Apr 15, 2014 Accepting new patients
Suncoast Chiropractic Wellness Centers PA Chiropractor PastSince Nov 8, 2005 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234396800000",
    "number": "1740451764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N BELCHER RD",
            "address_2": "SUITE 4",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337652608",
            "telephone_number": "727-791-9355",
            "fax_number": "727-724-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N BELCHER RD",
            "address_2": "SUITE 4",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337652608",
            "telephone_number": "727-791-9355",
            "fax_number": "727-724-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPUTO",
        "first_name": "PAUL",
        "middle_name": "ELISEO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-18",
        "last_updated": "2009-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 8891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3821561 00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.