Individual provider Active NPI

Christopher Charles Mascetta, DC

  • Chiropractor
  • Ridgefield, CT
National Provider Identifier
1083769830
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001259 Issued in CT
Practice address
10 South St
Ste 205
Ridgefield, CT 06877-4124
Phone
(203) 431-1688
Fax
(203) 431-1817
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
Yes

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 001259 CT Primary

Addresses

Primary practice location

10 South St
Ste 205
Ridgefield, CT 06877-4124

Mailing address

3 Lamar Rd
Danbury, CT 06811-3943
Phone (203) 798-0525

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120109000858 CT Practitioner - Chiropractic 8729254024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 S St
Suite 205
Ridgefield, CT 06877-4125
Phone (203) 431-1688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1259CTMDClinical Psychologist
001259CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgefield Chiropractic & Wellness Center, LLC Chiropractor CurrentSince May 1, 2000 Accepting new patients

Locations

10 South St
Ste 205
Ridgefield, CT 06877
Phone (203) 212-9284

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083769830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LAMAR RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068113943",
            "telephone_number": "203-798-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SOUTH ST",
            "address_2": "STE 205",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774124",
            "telephone_number": "203-431-1688",
            "fax_number": "203-431-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCETTA",
        "first_name": "CHRISTOPHER",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

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.