Individual provider Active NPI

Michael Mazzarella, D.C.

  • Chiropractor
  • Asheville, NC
National Provider Identifier
1679633275
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3891 Issued in NC
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, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20101007001295 NC Practitioner - Chiropractic 6709078843 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
3891NCMDClinical Psychologist
3007SCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Macary Family Chiropractic, PA Chiropractor CurrentSince Jul 1, 2011 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.

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.

Verify at the official NPI Registry.