Active NPI
Nicholas P Grigorieff
- Orthotic Fitter
- Concord, MA
National Provider Identifier
1558408740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotic Fitter
- Practice address
- 801 Main St
Suite 8
Concord, MA 01742-3313 - Phone
- (978) 371-1684
- Fax
- (978) 371-7504
- NPI assigned
- Jan 30, 2007
- Last updated
- Oct 25, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | NOT APPLICABLE | NU | |
| Orthotic Fitter | 225000000X | NU | Primary |
Addresses
Primary practice location
801 Main St
Suite 8
Concord, MA 01742-3313
Mailing address
801 Main St
Suite 8
Concord, MA 01742-3313
Phone (978) 371-1684
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30003020 | Medicaid | NH | |
| 700626 | Other | MA | HARVARD PILGRIM |
| 96949701 | Other | MA | NETWORK HEALTH |
| 1531484 | Medicaid | MA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Prosthetics and Orthotics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Prosthetic/Orthotic Supplier
- Concord, MA
- NPI 1437338522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193270400000",
"number": "1558408740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 MAIN ST",
"address_2": "SUITE 8",
"city": "CONCORD",
"state": "MA",
"postal_code": "017423313",
"telephone_number": "978-371-1684",
"fax_number": "978-371-7504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 MAIN ST",
"address_2": "SUITE 8",
"city": "CONCORD",
"state": "MA",
"postal_code": "017423313",
"telephone_number": "978-371-1684",
"fax_number": "978-371-7504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIGORIEFF",
"first_name": "NICHOLAS",
"middle_name": "P",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2007-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "NU",
"license": "NOT APPLICABLE",
"primary": false
},
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30003020",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "700626",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "96949701",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1531484",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.