Organization Active NPI

Michael Krupa, Inc.

  • Chiropractor
  • Holliston, MA
National Provider Identifier
1144547605
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3050 Issued in MA
Legal business name
MICHAEL KRUPA, INC.
Practice address
25 Charles St
Holliston, MA 01746-2105
Phone
(508) 429-7293
Fax
(508) 429-7335
NPI assigned
Apr 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Authorized official

Name
Dr. Michael Krupa, D.C.NPI 1033207048
Title
Owner/Chiropractor
Phone
(508) 429-7293

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3050 MA Primary

Addresses

Primary practice location

25 Charles St
Holliston, MA 01746-2105

Mailing address

25 Charles St
Holliston, MA 01746-2105
Phone (508) 429-7293

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130314000415 MA Part B Supplier - Clinic/Group Practice 3072758317 Receives reassigned benefits from 1 practitioner
Practice locations: Holliston, MA

National Provider Directory

National Provider Directory

Locations

25 Charles St
Holliston, MA 01746
Phone (508) 429-7293

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1144547605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CHARLES ST",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "017462105",
            "telephone_number": "508-429-7293",
            "fax_number": "508-429-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CHARLES ST",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "017462105",
            "telephone_number": "508-429-7293",
            "fax_number": "508-429-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL KRUPA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "KRUPA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "508-429-7293",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holliston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.