Active NPI
William R Bazin, D.C.
- Chiropractor
- East Longmeadow, MA
National Provider Identifier
1578624581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MA1052
- Practice address
- 200 N Main St
Suite 10
East Longmeadow, MA 01028-2392 - Phone
- (413) 525-2932
- Fax
- (413) 525-6839
- NPI assigned
- Dec 13, 2006
- 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 | MA1052 | MA | Primary |
Addresses
Primary practice location
200 N Main St
Suite 10
East Longmeadow, MA 01028-2392
Mailing address
200 N Main St
Suite 10
East Longmeadow, MA 01028-2392
Phone (413) 525-2932
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA1052 | Other | MA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050131000844 | MA | Practitioner - Chiropractic | 8426008046 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Abc Health Services Inc
Practice addresses (Care Compare)
200 N Main St
Suite 10
East Longmeadow, MA 01028-2353
Phone (413) 525-2932
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA1052 | MA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abc Health Services Inc | Chiropractor | Current | Accepting new patients |
| Abc Health Services Inc | Chiropractor | Current | Accepting new patients |
Locations
200 N Main St
Ste 10
East Longmeadow, MA 01028
Phone (413) 525-2932
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 and National Provider Directory roles.
-
- Chiropractor
- East Longmeadow, MA
- NPI 1104034255
-
- Chiropractor
- Enfield, CT
- NPI 1457020869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631145600000",
"number": "1578624581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N MAIN ST",
"address_2": "SUITE 10",
"city": "EAST LONGMEADOW",
"state": "MA",
"postal_code": "010282392",
"telephone_number": "413-525-2932",
"fax_number": "413-525-6839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N MAIN ST",
"address_2": "SUITE 10",
"city": "EAST LONGMEADOW",
"state": "MA",
"postal_code": "010282392",
"telephone_number": "413-525-2932",
"fax_number": "413-525-6839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAZIN",
"first_name": "WILLIAM",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2021-09-09",
"certification_date": "2021-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "MA1052",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "MA1052",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Longmeadow, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.