Active NPI
Graham Allister Macaulay, DC
- Chiropractor
- Wakefield, RI
National Provider Identifier
1285795534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC23666
- Practice address
- 10 High St Unit H
Wakefield, RI 02879-3144 - Phone
- (401) 515-5552
- Fax
- (408) 275-1964
- NPI assigned
- Dec 12, 2006
- 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 | DC23666 | CA | Primary |
Addresses
Primary practice location
10 High St Unit H
Wakefield, RI 02879-3144
Mailing address
1102 Bird Ave Ste 20
San Jose, CA 95125-1700
Phone (408) 275-1900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77-0601076 | Other | CA | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230925000890 | RI | Practitioner - Chiropractic | 0749299634 | Practice locations: Wakefield, RI |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
116 Main St
Unit 9
Wakefield, RI 02879-3669
Phone (401) 515-5552
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC23666 | CA | MD | Chiropractor |
| 23666 | CA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1285795534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 BIRD AVE STE 20",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951251700",
"telephone_number": "408-275-1900",
"fax_number": "408-275-1964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 HIGH ST UNIT H",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028793144",
"telephone_number": "401-515-5552",
"fax_number": "408-275-1964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACAULAY",
"first_name": "GRAHAM",
"middle_name": "ALLISTER",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC23666",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "77-0601076",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wakefield, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.