Individual provider Active NPI

Michael Ethan Chartoff, D.C.

  • Chiropractor
  • Boston, MA
National Provider Identifier
1568469005
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2236 Issued in MA
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

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2691716OtherMAAETNA
794755OtherMATUFTS
21224282786-01OtherMABEECH ST
P3197246OtherMAOXFORD
26133OtherMAFALLEN
350446OtherMAHARVARD PILGRIM
Y36585OtherMABCBS

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

LicenseStateTypeSpecialty
2236MAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Chiropractic Associates, Inc. Chiropractor PastSince Aug 5, 2007 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.

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.

Verify at the official NPI Registry.