Individual provider Active NPI

Paul A. Anastasio, DC

  • Chiropractor
  • Harwich, MA
National Provider Identifier
1235296286
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1836 Issued in MA
Practice address
11 Pleasant Lake Ave
Harwich, MA 02645-2661
Phone
(508) 432-7855
Fax
(508) 432-5088
NPI assigned
Jan 2, 2007
Last updated
Sep 27, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1836 MA Primary

Addresses

Primary practice location

11 Pleasant Lake Ave
Harwich, MA 02645-2661

Mailing address

11 Pleasant Lake Ave
Harwich, MA 02645-2661
Phone (508) 432-7855

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060425000088 MA Practitioner - Chiropractic 7113937947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11 Pleasant Lake Ave
Harwich, MA 02645-2661
Phone (508) 801-8811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
CCBF, LLC CurrentSince Jan 5, 2020 Accepting new patients
Anastasio Family Chiropractic,P.C. Chiropractor CurrentSince May 7, 2001 Accepting new patients

Organizations & group practices 2

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1235296286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PLEASANT LAKE AVE",
            "city": "HARWICH",
            "state": "MA",
            "postal_code": "026452661",
            "telephone_number": "508-432-7855",
            "fax_number": "508-432-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PLEASANT LAKE AVE",
            "city": "HARWICH",
            "state": "MA",
            "postal_code": "026452661",
            "telephone_number": "508-432-7855",
            "fax_number": "508-432-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANASTASIO",
        "first_name": "PAUL",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harwich, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.