Active NPI
Carmen J. Centanni
- Chiropractor
- Beachwood, OH
National Provider Identifier
1992707988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 711
- Practice address
- 3681 South Green Rd.
Suite #206
Beachwood, OH 44122 - Phone
- (216) 595-3560
- Fax
- (216) 595-3560
- NPI assigned
- Aug 10, 2005
- Last updated
- Dec 17, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 711 | OH | Primary |
Addresses
Primary practice location
3681 South Green Rd.
Suite #206
Beachwood, OH 44122
Mailing address
3681 South Green Rd.
Suite #206
Beachwood, OH 44122
Phone (216) 595-3560
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000116505 | Other | OH | ANTHEM BCBS |
| 000000116505 | Other | ANTHEM BC/BS |
Other names 1
- Carmen J. Centanni
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
| License | State | Type | Specialty |
|---|---|---|---|
| 711 | OH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229472000000",
"number": "1992707988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3681 SOUTH GREEN RD.",
"address_2": "SUITE #206",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "44122",
"telephone_number": "216-595-3560",
"fax_number": "216-595-3560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3681 SOUTH GREEN RD.",
"address_2": "SUITE #206",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "44122",
"telephone_number": "216-595-3560",
"fax_number": "216-595-3560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CENTANNI",
"first_name": "CARMEN",
"middle_name": "J.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2008-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "711",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000116505",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000116505",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARMEN",
"last_name": "CENTANNI",
"middle_name": "J.",
"credential": "D.C.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Beachwood, OH
- Megan Cavato, LPCC, LPC, ATR, PMHC
- Erica Lynn Cech, MS, RD, LD
- Dana Renee Cehovic
- Celebrate Positivity, LLC
- David D Cella, C.R.N.A.
- Center for Counseling Solutions
- Center for Dialysis Care Beachwood Home Care LLC
- Center for Emotional Wellness
- Center for Plastic & Cosmetic Surgery Inc
- Centers for Comprehensive Pain Care Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.