Individual provider Active NPI

Carlo Longobardo, D.C.

  • Chiropractor
  • Worcester, MA
National Provider Identifier
1881715787
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MA-2086 Issued in MA
Practice address
372 Chandler St Ste 102
Worcester, MA 01602-3314
Phone
(508) 795-1810
Fax
(508) 795-1282
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MA-2086 MA Primary

Addresses

Primary practice location

372 Chandler St Ste 102
Worcester, MA 01602-3314

Mailing address

372 Chandler St Ste 102
Worcester, MA 01602-3314
Phone (508) 795-1810

Other practice location 1

291 Lincoln St
Suite 100
Worcester, MA 01605-3643
Phone (508) 795-1810

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
MA-2086MAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management & Spinal Care, LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1881715787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 CHANDLER ST STE 102",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016023314",
            "telephone_number": "508-795-1810",
            "fax_number": "508-795-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 CHANDLER ST STE 102",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016023314",
            "telephone_number": "508-795-1810",
            "fax_number": "508-795-1282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "291 Lincoln St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016053643",
            "country_code": "US",
            "telephone_number": "508-795-1810",
            "fax_number": "508-795-1282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONGOBARDO",
        "first_name": "CARLO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "MA-2086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.