Individual provider Active NPI

Gerard R Cassista, B.S.,D.C.

  • Chiropractor
  • Dracut, MA
National Provider Identifier
1073573234
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
553 Issued in MA
Practice address
1350 Lakeview Ave
Dracut, MA 01826-3497
Phone
(978) 957-5585
Fax
(978) 957-8258
NPI assigned
Mar 23, 2006
Last updated
Feb 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 553 MA Primary

Addresses

Primary practice location

1350 Lakeview Ave
Dracut, MA 01826-3497

Mailing address

1350 Lakeview Ave
Dracut, MA 01826-3497
Phone (978) 957-5585

Other identifiers 4

IdentifierTypeStateIssuer
0117046OtherMAAETNA
35446OtherMAHPHC
Y35401OtherMABCBS
713889OtherMATUFTS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040923000669 MA Practitioner - Chiropractic 3375511132 Practice locations: Dracut, MA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1350 Lakeview Ave
Dracut, MA 01826-3424
Phone (978) 957-5585

1350 Lakeview Ave Dracut Ma
01826 Dracut Ma 01826
Dracut, MA 01826-3424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
553MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gerard Cassista Chiropractor CurrentSince Aug 25, 2004 Accepting new patients

Locations

1350 Lakeview Ave
Dracut, MA 01826
Phone (978) 957-5585

Organizations & group practices 1

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1073573234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 LAKEVIEW AVE",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018263497",
            "telephone_number": "978-957-5585",
            "fax_number": "978-957-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 LAKEVIEW AVE",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018263497",
            "telephone_number": "978-957-5585",
            "fax_number": "978-957-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSISTA",
        "first_name": "GERARD",
        "middle_name": "R",
        "credential": "B.S.,D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0117046",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "35446",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y35401",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "713889",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dracut, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.