Individual provider Active NPI

Michael Joseph Pompeo, DC

  • Chiropractor
  • Boardman, OH
National Provider Identifier
1831862614
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-05106 Issued in OH
Practice address
362 Boardman Poland Rd
Boardman, OH 44512-4934
Phone
(330) 629-2121
NPI assigned
Jul 28, 2021
Last updated
Jul 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-05106 OH Primary

Addresses

Primary practice location

362 Boardman Poland Rd
Boardman, OH 44512-4934

Mailing address

7966 Bendemeer Dr
Poland, OH 44514-2732
Phone (330) 503-8580

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210928003568 OH Practitioner - Chiropractic 9638576945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pompeo ChiropracticGroup PAC ID 6608241153, 2 clinicians

Practice addresses (Care Compare)

362 Boardman Poland Rd
Boardman, OH 44512-4934
Phone (330) 629-2121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-05106OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Backs and US, LLC Chiropractor CurrentSince Sep 1, 2021 Accepting new patients
Pompeo Chiropractic Chiropractor CurrentSince Sep 20, 2022 Accepting new patients

Locations

10416 Main St
New Middletwn, OH 44442
Phone (330) 507-7000

362 Boardman Poland Rd
Youngstown, OH 44512
Phone (330) 629-2121

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, 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": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1831862614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7966 BENDEMEER DR",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445142732",
            "telephone_number": "330-503-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 BOARDMAN POLAND RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124934",
            "telephone_number": "330-629-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMPEO",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-05106",
            "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 28, 2021; 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.