Active NPI
Anthony Gerald D'Agostino, D.C., B.A.
- Chiropractor
- Cape Coral, FL
National Provider Identifier
1912011305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 7971
- Practice address
- 1338 Del Prado Blvd S Ste 8
Cape Coral, FL 33990-3714 - Phone
- (239) 573-8918
- Fax
- (239) 573-8920
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH 7971 | FL | Primary |
Addresses
Primary practice location
1338 Del Prado Blvd S Ste 8
Cape Coral, FL 33990-3714
Mailing address
1338 Del Prado Blvd S Ste 8
Cape Coral, FL 33990-3714
Phone (239) 573-8918
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 381333900 | Medicaid | FL | |
| 53909Z | Other | FL | INDIVIDUAL PTAN |
| CH 7971 | Other | FL | FL LICENSE NUMBER |
| FB090A | Other | FL | GROUP PTAN |
| 53909 | Other | FL | FL BCBS NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1338 Del Prado Blvd S
Suite 8
Cape Coral, FL 33990-3714
Phone (239) 573-8918
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 7971 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Tony D'Agostino DC PA | Chiropractor | Current | Accepting new patients |
Locations
1338 Del Prado Blvd S
Ste 8
Cape Coral, FL 33990
Phone (239) 573-8918
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
- Cape Coral, FL
- NPI 1447545470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311033600000",
"number": "1912011305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1338 DEL PRADO BLVD S STE 8",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339903714",
"telephone_number": "239-573-8918",
"fax_number": "239-573-8920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1338 DEL PRADO BLVD S STE 8",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339903714",
"telephone_number": "239-573-8918",
"fax_number": "239-573-8920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'AGOSTINO",
"first_name": "ANTHONY",
"middle_name": "GERALD",
"name_prefix": "Dr.",
"credential": "D.C., B.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2011-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 7971",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "381333900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL PTAN",
"identifier": "53909Z",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL LICENSE NUMBER",
"identifier": "CH 7971",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "FB090A",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL BCBS NUMBER",
"identifier": "53909",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.