Provider Demographics
NPI:1124009808
Name:CESPITES, ANTHONY JOHNS (DC)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:JOHNS
Last Name:CESPITES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:TONY
Other - Middle Name:
Other - Last Name:JOHNS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:167 E PIKE ST
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-1765
Mailing Address - Country:US
Mailing Address - Phone:724-916-4277
Mailing Address - Fax:725-916-4614
Practice Address - Street 1:167 E PIKE ST
Practice Address - Street 2:
Practice Address - City:CANONSBURG
Practice Address - State:PA
Practice Address - Zip Code:15317-1765
Practice Address - Country:US
Practice Address - Phone:724-916-4277
Practice Address - Fax:725-916-4614
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-09
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009151111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA152361Other3 RIVERS HP PROVIDER ID
PA3477981OtherAETNA PROVIDER ID
PA1281454OtherCIGNA PROVIDER ID
PA1566562OtherHIGHMARK PROVIDER ID
PW410194OtherUPMC HEALTH PLAN ID
PA1539293OtherGATEWAY HP PROVIDER ID
PA009731990001Medicaid
PA152361Other3 RIVERS HP PROVIDER ID
PA1566562OtherHIGHMARK PROVIDER ID