Individual provider Active NPI

Megan E. Gazda

  • Chiropractor
  • Sharon, MA
National Provider Identifier
1083910244
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3361 Issued in MA
Practice address
31 East St
Sharon, MA 02067-2224
Phone
(508) 455-7208
NPI assigned
Feb 7, 2011
Last updated
Jan 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3361 MA Primary

Addresses

Primary practice location

31 East St
Sharon, MA 02067-2224

Mailing address

31 East St
Sharon, MA 02067-2224
Phone (508) 455-7208

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121008000641 MA Practitioner - Chiropractic 8820247836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Davis Square Chiropractic, PCGroup PAC ID 6103088687, 6 clinicians

Practice addresses (Care Compare)

71 Holland St
Somerville, MA 02144-2733
Phone (617) 625-8707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3361MAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Square Chiropractic, PC Chiropractor CurrentSince Jul 2, 2012 Accepting new patients
Carolina Forest Chiropractic, LLC Chiropractor PastSince Oct 1, 2007 Accepting new patients

Locations

49 Holland St
Somerville, MA 02144
Phone (508) 455-7208

71 Holland St
Somerville, MA 02144
Phone (617) 525-8707

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.

NPI Registry JSON

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1083910244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 EAST ST",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020672224",
            "telephone_number": "508-455-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 EAST ST",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020672224",
            "telephone_number": "508-455-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZDA",
        "first_name": "MEGAN",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-07",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharon, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.