Individual provider Active NPI

Michael Anthony Capobianco, D.C.

  • Chiropractor
  • Magnolia, OH
National Provider Identifier
1942492780
Registry record updated Mar 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2811 Issued in OH
Practice address
11201 State Route 800 NE Ste D
Magnolia, OH 44643-8322
Phone
(330) 694-1695
NPI assigned
Aug 15, 2007
Last updated
Mar 15, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2811 OH Primary

Addresses

Primary practice location

11201 State Route 800 NE Ste D
Magnolia, OH 44643-8322

Mailing address

11201 State Route 800 NE Ste D
Magnolia, OH 44643-8322
Phone (330) 694-1695

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northcoast Pain Specialists LLC PastSince Sep 20, 2010 Accepting new patients
Crossroads Chiropractic and Wellness, LLC Chiropractor PastSince Oct 26, 2010 Accepting new patients
Belden Injury Center Chiropractor PastSince Sep 11, 2015 Accepting new patients
Valley Chiropractic Center, PLLC Chiropractor PastSince Jan 27, 2015 Accepting new patients

Organizations & group practices 5

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": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363305600000",
    "number": "1942492780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 STATE ROUTE 800 NE STE D",
            "city": "MAGNOLIA",
            "state": "OH",
            "postal_code": "446438322",
            "telephone_number": "330-694-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 STATE ROUTE 800 NE STE D",
            "city": "MAGNOLIA",
            "state": "OH",
            "postal_code": "446438322",
            "telephone_number": "330-694-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPOBIANCO",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-15",
        "last_updated": "2013-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.