Active NPI
Michael Conlon, D.C.
- Chiropractor
- Norwell, MA
National Provider Identifier
1245379148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2095
- Practice address
- 340 Washington St
Ste 6
Norwell, MA 02061-2045 - Phone
- (781) 383-1616
- Fax
- (781) 383-8686
- NPI assigned
- Feb 6, 2007
- Last updated
- Mar 28, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 2095 | MA | Primary |
Addresses
Primary practice location
340 Washington St
Ste 6
Norwell, MA 02061-2045
Mailing address
340 Washington St
Ste 6
Norwell, MA 02061-2045
Phone (781) 383-1616
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043407854 | Other | MA | PHCS |
| 2055093 | Other | MA | AETNA HEALTH CARE |
| B20756501 | Other | MA | CIGNA HEALTH CARE |
| 1611852 | Medicaid | MA | |
| 350297 | Other | MA | HARVARD PILGRIM HEALTH |
| 4400385 | Other | MA | UNITED HEALTH CARE |
| Y39745 | Other | MA | BLUE CROSS BLUE SHIELD |
| Y36474 | Other | MA | BLUE CROSS BLUE SHIELD |
| 002095 | Other | MA | TUFTS HEALTH PLAN |
| 043407854 | Other | MA | NEIGHBORHOOD HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060424000434 | MA | Practitioner - Chiropractic | 7315957107 | Practice locations: Norwell, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
340 Washington St
Suite 6
Norwell, MA 02061-2045
Phone (781) 383-1616
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2095 | MA | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522195200000",
"number": "1245379148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 WASHINGTON ST",
"address_2": "STE 6",
"city": "NORWELL",
"state": "MA",
"postal_code": "020612045",
"telephone_number": "781-383-1616",
"fax_number": "781-383-8686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 WASHINGTON ST",
"address_2": "STE 6",
"city": "NORWELL",
"state": "MA",
"postal_code": "020612045",
"telephone_number": "781-383-1616",
"fax_number": "781-383-8686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLON",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2018-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "2095",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "043407854",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTH CARE",
"identifier": "2055093",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH CARE",
"identifier": "B20756501",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1611852",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH",
"identifier": "350297",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "4400385",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y39745",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y36474",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "002095",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "043407854",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.