Individual provider Active NPI

Michael Keith York, D.C.

  • Chiropractor
  • Waltham, MA
National Provider Identifier
1285664474
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3040 Issued in MA
Practice address
515 Moody St
Waltham, MA 02453-0506
Phone
(781) 647-5550
Fax
(781) 893-7077
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

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 3040 MA Primary

Addresses

Primary practice location

515 Moody St
Waltham, MA 02453-0506

Mailing address

41 Keenan St
Watertown, MA 02472-2904
Phone (720) 988-5681

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060503000648 MA Practitioner - Chiropractic 9133103922 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
R Franklin University of Med & Sci/Chicago Medical School, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Needham Chiropractic Associates PCGroup PAC ID 8820185838, 3 clinicians

Practice addresses (Care Compare)

1410 Highland Ave
Suite 201
Needham, MA 02492-2617
Phone (781) 449-5722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Needham Chiropractic Associates P.C. CurrentSince Mar 1, 2024 Accepting new patients
Moody Street Total Health, Inc. Chiropractor PastSince Jul 16, 2016 Accepting new patients

Locations

1410 Highland Ave
Ste 201
Needham, MA 02492
Phone (781) 449-5722

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285664474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 KEENAN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722904",
            "telephone_number": "720-988-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MOODY ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024530506",
            "telephone_number": "781-647-5550",
            "fax_number": "781-893-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORK",
        "first_name": "MICHAEL",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, 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.