Active NPI
Michael D Hylemon, DC DABCO
- Chiropractor
- South Hadley, MA
National Provider Identifier
1134208408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 772
- Practice address
- 281 Granby Road
South Hadley, MA 01075 - Phone
- (413) 536-8315
- Fax
- (413) 536-8316
- NPI assigned
- Nov 6, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 772 | MA | Primary |
Addresses
Primary practice location
281 Granby Road
South Hadley, MA 01075
Mailing address
281 Granby Road
South Hadley, MA 01075
Phone (413) 536-8315
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100772 | Other | CONNECTICARE | |
| Y35543 | Other | BCBS | |
| 1613715 | Medicaid | MA | |
| 727263 | Other | TUFTS | |
| 210407 | Other | ACN GROUP HNE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060427000617 | MA | Practitioner - Chiropractic | 0244240729 | Practice locations: South Hadley, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
281 Granby Rd
South Hadley, MA 01075-2227
Phone (413) 536-8315
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1134208408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "281 GRANBY ROAD",
"city": "SOUTH HADLEY",
"state": "MA",
"postal_code": "01075",
"telephone_number": "413-536-8315",
"fax_number": "413-536-8316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281 GRANBY ROAD",
"city": "SOUTH HADLEY",
"state": "MA",
"postal_code": "01075",
"telephone_number": "413-536-8315",
"fax_number": "413-536-8316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYLEMON",
"first_name": "MICHAEL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DC DABCO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "772",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "100772",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y35543",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1613715",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "727263",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN GROUP HNE",
"identifier": "210407",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Hadley, 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.