Individual provider Active NPI

Michael J Krupa, DC

  • Chiropractor
  • Holliston, MA
National Provider Identifier
1033207048
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3050 Issued in MA
Practice address
25 Charles St
Holliston, MA 01746-2105
Phone
(508) 429-7293
Fax
(508) 429-7335
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DCP00539 RI
Chiropractor 111N00000X 3050 MA Primary

Addresses

Primary practice location

25 Charles St
Holliston, MA 01746-2105

Mailing address

25 Charles St
Holliston, MA 01746-2105
Phone (508) 429-7293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071002000057 MA Practitioner - Chiropractic 8527068600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25 Charles St
Holliston, MA 01746-2105
Phone (508) 429-7293

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Krupa, Inc. Chiropractor CurrentSince Jan 1, 2013 Accepting new patients
Fall River Spine & Disc Center Chiropractor Past Accepting new patients
Dr. Jennifer Jaynes, PLLC Chiropractor Past Accepting new patients
William a. Watkinson II Chiropractor Past Accepting new patients
Smart Body Chiropractic LLC Chiropractor PastSince Nov 2, 2014 Accepting new patients

Locations

25 Charles St
Holliston, MA 01746
Phone (508) 429-7293

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271980800000",
    "number": "1033207048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CHARLES ST",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "017462105",
            "telephone_number": "508-429-7293",
            "fax_number": "508-429-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CHARLES ST",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "017462105",
            "telephone_number": "508-429-7293",
            "fax_number": "508-429-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUPA",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00539",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holliston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.

Verify at the official NPI Registry.