Active NPI
Michael Ethan Chartoff, D.C.
- Chiropractor
- Boston, MA
National Provider Identifier
1568469005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2236
- Practice address
- 162 Boylston St
Suite 41
Boston, MA 02116-4613 - Phone
- (617) 451-1111
- Fax
- (617) 451-1122
- NPI assigned
- Jun 30, 2005
- 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 | 2236 | MA | Primary |
Addresses
Primary practice location
162 Boylston St
Suite 41
Boston, MA 02116-4613
Mailing address
162 Boylston St
Suite 41
Boston, MA 02116-4613
Phone (617) 451-1111
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2691716 | Other | MA | AETNA |
| 794755 | Other | MA | TUFTS |
| 21224282786-01 | Other | MA | BEECH ST |
| P3197246 | Other | MA | OXFORD |
| 26133 | Other | MA | FALLEN |
| 350446 | Other | MA | HARVARD PILGRIM |
| Y36585 | Other | MA | BCBS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2236 | MA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Chiropractic Associates, Inc. | Chiropractor | 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 and National Provider Directory roles.
-
- Chiropractor
- Boston, MA
- NPI 1437376696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568469005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 BOYLSTON ST",
"address_2": "SUITE 41",
"city": "BOSTON",
"state": "MA",
"postal_code": "021164613",
"telephone_number": "617-451-1111",
"fax_number": "617-451-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 BOYLSTON ST",
"address_2": "SUITE 41",
"city": "BOSTON",
"state": "MA",
"postal_code": "021164613",
"telephone_number": "617-451-1111",
"fax_number": "617-451-1122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARTOFF",
"first_name": "MICHAEL",
"middle_name": "ETHAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "2236",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2691716",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "794755",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECH ST",
"identifier": "21224282786-01",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3197246",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLEN",
"identifier": "26133",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "350446",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y36585",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.