Active NPI
Louis J Cavallo, DC
- Chiropractor
- Longmont, CO
National Provider Identifier
1841262920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5821
- Practice address
- 1503 Mountain View Ave
Longmont, CO 80501-3201 - Phone
- (303) 678-8555
- Fax
- (303) 678-2931
- NPI assigned
- Feb 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00518000 | NJ | |
| Chiropractor | 111N00000X | 5821 | CO | Primary |
Addresses
Primary practice location
1503 Mountain View Ave
Longmont, CO 80501-3201
Mailing address
1503 Mountain View Ave
Longmont, CO 80501
Phone (303) 678-8555
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 621921 | Other | NJ | UNTIED HC |
| C805580 | Other | CO | MEDICAREPTAN |
| P833467 | Other | NJ | OXFORD |
| 2230355 | Other | NJ | AETNA |
| 1K0384 | Other | NJ | HEALTHNET |
| 2422986000 | Other | NJ | AMERIHEALTH/BLUE CROSS |
| 7858400 | Medicaid | NJ | |
| P00236812 | Other | NJ | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060714000085 | CO | Practitioner - Chiropractic | 9436162401 | Practice locations: Longmont, CO |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1503 Mountain View Ave
Longmont, CO 80501-3201
Phone (303) 678-8555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5821 | CO | MD | Chiropractor |
| 38MC00518000 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliated Physicians Network, P.C. | Chiropractor | Past | 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.
-
- Chiropractor
- Woodbury Heights, NJ
- NPI 1396850228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488412800000",
"number": "1841262920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1503 MOUNTAIN VIEW AVE",
"city": "LONGMONT",
"state": "CO",
"postal_code": "80501",
"telephone_number": "303-678-8555",
"fax_number": "303-678-2931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1503 MOUNTAIN VIEW AVE",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805013201",
"telephone_number": "303-678-8555",
"fax_number": "303-678-2931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVALLO",
"first_name": "LOUIS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2017-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00518000",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "5821",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNTIED HC",
"identifier": "621921",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAREPTAN",
"identifier": "C805580",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P833467",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2230355",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "1K0384",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH/BLUE CROSS",
"identifier": "2422986000",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7858400",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00236812",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.