Active NPI
Troy William Niezgoda, DC
- Chiropractor
- Provincetown, MA
National Provider Identifier
1154910958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3713
- Practice address
- 26 Court St
Provincetown, MA 02657-1322 - Phone
- (508) 487-0520
- NPI assigned
- Jan 15, 2021
- Last updated
- Jan 15, 2021
- 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 | 3713 | MA | Primary |
Addresses
Primary practice location
26 Court St
Provincetown, MA 02657-1322
Mailing address
1250 Long Pond Rd
Brewster, MA 02631-2888
Phone (774) 722-3074
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210122002157 | MA | Practitioner - Chiropractic | 6608280276 | Practice locations: Chatham, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
60 Munson Meeting Way
Suite F
Chatham, MA 02633-1992
Phone (508) 945-3131
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3713 | MA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610668800000",
"number": "1154910958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 LONG POND RD",
"city": "BREWSTER",
"state": "MA",
"postal_code": "026312888",
"telephone_number": "774-722-3074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 COURT ST",
"city": "PROVINCETOWN",
"state": "MA",
"postal_code": "026571322",
"telephone_number": "508-487-0520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEZGODA",
"first_name": "TROY",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-15",
"last_updated": "2021-01-15",
"certification_date": "2021-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "3713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Provincetown, MA
- Samantha A Mitchell-Macnicoll, LIC. AC.
- Nathan Adam Molina
- Sarah Allison Motta, FNP-C
- Lucia Munson
- Teresa Lynn Nezbeth
- Brian O'Malley, M.D.
- Maryanne O'Toole, NP
- Outer Cape Health Services Inc (Provincetown Outer Cape Pharmacy)
- Outer Cape Health Services, Inc. (Outer Cape Health Services Dental)
- Outer Cape Health Services, Inc. (Outer Cape Health Urgent Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.