Individual provider Active NPI

Michael Anthony Naccarella, D.C.

  • Chiropractor
  • Stamford, CT
National Provider Identifier
1124112370
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001306 Issued in CT
Practice address
1867 Summer St
Stamford, CT 06905-5016
Phone
(203) 975-7000
Fax
(203) 975-0876
NPI assigned
Oct 3, 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 001306 CT Primary

Addresses

Primary practice location

1867 Summer St
Stamford, CT 06905-5016

Mailing address

2796 Carr CT
Yorktown Heights, NY 10598-3010
Phone (914) 455-2842

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070626000390 CT Practitioner - Chiropractic 7113026592 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Health Centers IncGroup PAC ID 2769417609, 39 clinicians

Practice addresses (Care Compare)

110 Connecticut Blvd
East Hartford, CT 06108-3013
Phone 8605281359263

265 Ellington Rd
East Hartford, CT 06108-1176
Phone (860) 610-6191

809 Main St
East Hartford, CT 06108-3142
Phone (860) 610-6131

92 Connecticut Blvd
East Hartford, CT 06108-3013
Phone 8605281359129

94 Connecticut Blvd
East Hartford, CT 06108-3013
Phone (860) 528-1359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Back Center Chiropractor CurrentSince Nov 8, 2021 Accepting new patients
First Choice Health Centers, Inc. CurrentSince Feb 1, 2022 Accepting new patients
First Choice Health Centers, Inc. Current Accepting new patients
First Choice Health Centers, Inc. CurrentSince Feb 1, 2022 Accepting new patients

Locations

265 Ellington Rd
East Hartford, CT 06108
Phone (860) 569-8800

94 Connecticut Blvd
Hartford, CT 06108
Phone (860) 610-6191

200 Queen St
Southington, CT 06489
Phone (860) 621-2225

Organizations & group practices 4

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124112370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2796 CARR CT",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105983010",
            "telephone_number": "914-455-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 SUMMER ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055016",
            "telephone_number": "203-975-7000",
            "fax_number": "203-975-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACCARELLA",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, 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.