Active NPI
Michael Mazzarella, D.C.
- Chiropractor
- Asheville, NC
National Provider Identifier
1679633275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3891
- Practice address
- 30 Ravenscroft Dr
Asheville, NC 28801-3611 - Phone
- (828) 254-1767
- Fax
- (828) 254-1772
- NPI assigned
- Dec 12, 2006
- Last updated
- Apr 24, 2014
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3007 | SC | |
| Chiropractor | 111N00000X | 3891 | NC | Primary |
Addresses
Primary practice location
30 Ravenscroft Dr
Asheville, NC 28801-3611
Mailing address
30 Ravenscroft Dr
Asheville, NC 28801-3611
Phone (828) 254-1767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
30 Ravenscroft Dr
Asheville, NC 28801-3611
Phone (828) 254-1767
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3891 | NC | MD | Clinical Psychologist |
| 3007 | SC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Macary Family Chiropractic, PA | Chiropractor | Current | Accepting new patients |
Locations
30 Ravenscroft Dr
Asheville, NC 28801
Phone (828) 252-8700
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.
-
dba Awakening Heart/Spinal Destination
- Chiropractor
- Asheville, NC
- NPI 1356510200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398297600000",
"number": "1679633275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 RAVENSCROFT DR",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288013611",
"telephone_number": "828-254-1767",
"fax_number": "828-254-1772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 RAVENSCROFT DR",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288013611",
"telephone_number": "828-254-1767",
"fax_number": "828-254-1772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZZARELLA",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2014-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "3007",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "3891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.