Active NPI
Miroslaw Kantorosinski, D.C.
- Chiropractor
- Salem, MA
National Provider Identifier
1033114350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 859
- Practice address
- 407 Essex St
Salem, MA 01970-3155 - Phone
- (978) 741-3477
- Fax
- (978) 744-7757
- NPI assigned
- Jun 14, 2005
- Last updated
- Jul 9, 2007
- 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 | 859 | MA | Primary |
Addresses
Primary practice location
407 Essex St
Salem, MA 01970-3155
Mailing address
407 Essex St
Salem, MA 01970-3155
Phone (978) 741-3477
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1613588 | Medicaid | MA | |
| 715139 | Other | MA | TUFTS |
| 354-33 | Other | MA | HARVARD PILGRIM HEALTH CA |
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 |
|---|---|---|---|
| 859 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kantorosinski Chiropractic Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Salem, MA
- NPI 1164521225
-
- Chiropractor
- Salem, MA
- NPI 1518962844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1033114350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 ESSEX ST",
"city": "SALEM",
"state": "MA",
"postal_code": "019703155",
"telephone_number": "978-741-3477",
"fax_number": "978-744-7757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 ESSEX ST",
"city": "SALEM",
"state": "MA",
"postal_code": "019703155",
"telephone_number": "978-741-3477",
"fax_number": "978-744-7757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANTOROSINSKI",
"first_name": "MIROSLAW",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "859",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1613588",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "715139",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH CA",
"identifier": "354-33",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.