Individual provider Active NPI

James Robert Collard, DC

  • Chiropractor
  • Springfield, MA
National Provider Identifier
1073623195
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1891 Issued in MA
Practice address
535 Allen St
Suite 2 Springfield Chiropractic Sports Rehab Ctr LLP
Springfield, MA 01118-2067
Phone
(413) 731-5004
Fax
(413) 734-6550
NPI assigned
Aug 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1891 MA Primary

Addresses

Primary practice location

535 Allen St
Suite 2 Springfield Chiropractic Sports Rehab Ctr LLP
Springfield, MA 01118-2067

Mailing address

535 Allen St
Suite 2 Springfield Chiropractic Sports Rehab Ctr LLP
Springfield, MA 01118-2067
Phone (413) 731-5004

Other identifiers 1

IdentifierTypeStateIssuer
1609858MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060426000155 MA Practitioner - Chiropractic 2668482381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Springfield Chiropractic Sports Rehab Ctr LLPGroup PAC ID 9133292782, 2 clinicians

Practice addresses (Care Compare)

535 Allen St
Springfield, MA 01118-2067
Phone (413) 731-5004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1891MAMDOccupational Therapist

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073623195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 ALLEN ST",
            "address_2": "SUITE 2 SPRINGFIELD CHIROPRACTIC SPORTS REHAB CTR LLP",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011182067",
            "telephone_number": "413-731-5004",
            "fax_number": "413-734-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 ALLEN ST",
            "address_2": "SUITE 2 SPRINGFIELD CHIROPRACTIC SPORTS REHAB CTR LLP",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011182067",
            "telephone_number": "413-731-5004",
            "fax_number": "413-734-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLARD",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609858",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.