Active NPI
Mitchell J Wachtel DPM PC
- Podiatrist
- North Andover, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- MITCHELL J WACHTEL DPM PC
- Practice address
- 451 Andover St Ste 202
North Andover, MA 01845-5069 - Phone
- (978) 794-8406
- NPI assigned
- Dec 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mitchell J Wachtel, DPM
- Title
- Owner/President
- Phone
- (978) 794-8406
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | 001978 | MA |
Addresses
Primary practice location
451 Andover St Ste 202
North Andover, MA 01845-5069
Mailing address
451 Andover St
Ste 300
North Andover, MA 01845-5044
Phone (978) 794-8406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 2
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
451 Andover St
Ste 200
North Andover, MA 01845
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Podiatrist
- North Andover, MA
- NPI 1467251322
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- North Andover, MA
- NPI 1699765503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733097600000",
"number": "1295918969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 ANDOVER ST",
"address_2": "STE 300",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018455044",
"telephone_number": "978-794-8406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 ANDOVER ST STE 202",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018455069",
"telephone_number": "978-794-8406"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MITCHELL J WACHTEL DPM PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-17",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A",
"authorized_official_last_name": "WACHTEL",
"authorized_official_first_name": "MITCHELL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "978-794-8406",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MA",
"license": "001978",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.