Active NPI
Michael Wayne Rauch, D.C.
- Chiropractor
- Jamaica Plain, MA
National Provider Identifier
1407932130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1126
- Practice address
- 329 Centre St Unit C
Jamaica Plain, MA 02130-1211 - Phone
- (617) 524-4878
- Fax
- (617) 524-0075
- NPI assigned
- Oct 27, 2006
- Last updated
- Dec 2, 2021
- 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 | 1126 | MA | Primary |
Addresses
Primary practice location
329 Centre St Unit C
Jamaica Plain, MA 02130-1211
Mailing address
10 Janet Rd Apt 1
South Easton, MA 02375-1621
Phone (774) 277-7400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1126 | MA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spinal Rehab Group, LLC | Current | Accepting new patients | |
| Proactive Chiropractic and Wellness PLLC | Chiropractor | Past | Accepting new patients |
Locations
111 Everett Ave
Ste 1A
Chelsea, MA 02150
Phone (617) 466-2687
329 Centre St
Ste C
Jamaica Plain, MA 02130
Phone (617) 524-4878
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Recovery Care Clinic/Center
- Jamaica Plain, MA
- NPI 1497063440
-
- Chiropractor
- Fairport, NY
- NPI 1215334057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638403200000",
"number": "1407932130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 JANET RD APT 1",
"city": "SOUTH EASTON",
"state": "MA",
"postal_code": "023751621",
"telephone_number": "774-277-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 CENTRE ST UNIT C",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021301211",
"telephone_number": "617-524-4878",
"fax_number": "617-524-0075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAUCH",
"first_name": "MICHAEL",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2021-12-02",
"certification_date": "2021-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "1126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica Plain, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.