Active NPI
Michael Vincent Frustaci, DC
- Independent Medical Examiner Chiropractor
- Manchaug, MA
National Provider Identifier
1306140892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Medical Examiner Chiropractor
- License
- 1500
- Practice address
- 9 Main Street
Suite 2B
Manchaug, MA 01526 - Phone
- (508) 476-2244
- NPI assigned
- Dec 27, 2010
- Last updated
- Dec 27, 2010
- 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 |
|---|---|---|---|---|
| Independent Medical Examiner Chiropractor | 111NI0013X | 1500 | MA | Primary |
Addresses
Primary practice location
9 Main Street
Suite 2B
Manchaug, MA 01526
Mailing address
PO Box 417
9 Main Street Suite 2B
Manchaug, MA 01526-0417
Phone (508) 476-2244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1500 | MA | MD | Independent Medical Examiner Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293408000000",
"number": "1306140892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 417",
"address_2": "9 MAIN STREET SUITE 2B",
"city": "MANCHAUG",
"state": "MA",
"postal_code": "015260417",
"telephone_number": "508-476-2244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 MAIN STREET",
"address_2": "SUITE 2B",
"city": "MANCHAUG",
"state": "MA",
"postal_code": "01526",
"telephone_number": "508-476-2244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRUSTACI",
"first_name": "MICHAEL",
"middle_name": "VINCENT",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-27",
"last_updated": "2010-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "111NI0013X",
"taxonomy_group": "",
"desc": "Chiropractor, Independent Medical Examiner",
"state": "MA",
"license": "1500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.