Individual provider Active NPI

Alex V Ognibene, D.C.

  • Chiropractor
  • Madison, WI
National Provider Identifier
1881051555
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5515-12 Issued in WI
Practice address
7836 Mineral Point Rd
Madison, WI 53717-2088
Phone
(608) 833-9445
Fax
(608) 833-9447
NPI assigned
Jan 26, 2016
Last updated
Jan 26, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 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 5515-12 WI Primary

Addresses

Primary practice location

7836 Mineral Point Rd
Madison, WI 53717-2088

Mailing address

7836 Mineral Point Rd
Madison, WI 53717-2088
Phone (608) 833-9445

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190426001176 NY Practitioner - Chiropractic 2466794268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1719 Foote Ave Ext
Jamestown, NY 14701-9385
Phone (716) 483-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013151NYMDClinical Psychologist
5515-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jamestown Spine, LLC Chiropractor CurrentSince Mar 10, 2019 Accepting new patients

Locations

1719 Foote Avenue Ext
Jamestown, NY 14701
Phone (716) 483-6800

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, 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": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1881051555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7836 MINERAL POINT RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537172088",
            "telephone_number": "608-833-9445",
            "fax_number": "608-833-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7836 MINERAL POINT RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537172088",
            "telephone_number": "608-833-9445",
            "fax_number": "608-833-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGNIBENE",
        "first_name": "ALEX",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5515-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.