Individual provider Active NPI

Michael L Abgrab, D.C.

  • Chiropractor
  • Fall River, MA
National Provider Identifier
1184773814
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1545 Issued in MA
Practice address
29 15TH St
Fall River, MA 02723-1105
Phone
(508) 674-5550
NPI assigned
Jan 10, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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 1545 MA Primary

Addresses

Primary practice location

29 15TH St
Fall River, MA 02723-1105

Mailing address

29 15TH St
Fall River, MA 02723-1105
Phone (508) 674-5550

Other identifiers 5

IdentifierTypeStateIssuer
401403OtherRIBLUE CHIP OF RI
44-00265OtherMAUNITED HEALTHCARE
Y36071OtherMABLUE CROSS BLUE SHIELD MA
3515-001OtherRIBLUE CROSS OF RI
35616OtherMAHARVARD PILGRIM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040524001251 MA Practitioner - Chiropractic 1456348309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

36 5TH St
FL 2
Fall River, MA 02721-2846
Phone (508) 674-5550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1545MAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Offices of Dr. Michael L. Abgrab, Inc Chiropractor CurrentSince Sep 2, 2008 Accepting new patients

Locations

1571 N Main St
Fall River, MA 02720
Phone (508) 324-4202

29 15th St
Fall River, MA 02723
Phone (508) 674-5550

36 5th St
Fl 2
Fall River, MA 02721
Phone (508) 674-5550

Organizations & group practices 1

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184773814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 15TH ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027231105",
            "telephone_number": "508-674-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 15TH ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027231105",
            "telephone_number": "508-674-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABGRAB",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP OF RI",
            "identifier": "401403",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "44-00265",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MA",
            "identifier": "Y36071",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF RI",
            "identifier": "3515-001",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "35616",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, 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.

Verify at the official NPI Registry.