Individual provider Active NPI

Michael Alexander Chapman

  • Chiropractor
  • Hingham, MA
National Provider Identifier
1669046249
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3719 Issued in MA
Practice address
25 Recreation Park Dr Ste 112
Hingham, MA 02043-4256
Phone
(781) 982-5566
NPI assigned
May 18, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3719 MA Primary

Addresses

Primary practice location

25 Recreation Park Dr Ste 112
Hingham, MA 02043-4256

Mailing address

559 Willard St Apt 11
Quincy, MA 02169-6234
Phone (781) 741-0154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210618001677 MA Practitioner - Chiropractic 9032519624 Reassigns benefits to 2 organizations
I20230926001345 NJ Practitioner - Chiropractic 9032519624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
South Orange Chiropractic CenterGroup PAC ID 6406904762, 8 clinicians

Practice addresses (Care Compare)

60 1St St
South Orange, NJ 07079-1916
Phone (973) 761-0022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3719MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Copley Square Chiropractic PC Chiropractor CurrentSince May 11, 2022 Accepting new patients
Chiropractic Spine & Sports Rehabilitation, P.C. Chiropractor CurrentSince May 25, 2021 Accepting new patients
South Orange Chiropractic Center Chiropractor CurrentSince Aug 22, 2023 Accepting new patients

Locations

25 Recreation Park Dr
Ste 112
Hingham, MA 02043
Phone (781) 277-7398

Organizations & group practices 4

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": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1669046249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 WILLARD ST APT 11",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021696234",
            "telephone_number": "781-741-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 RECREATION PARK DR STE 112",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020434256",
            "telephone_number": "781-982-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "MICHAEL",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.

Verify at the official NPI Registry.