Individual provider Active NPI

Michael E Gaffin, D.C.

  • Chiropractor
  • Levittown, PA
National Provider Identifier
1720076235
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC003845L Issued in PA
Practice address
81 Crabtree Dr
Levittown, PA 19055-1617
Phone
(215) 949-3720
Fax
(215) 949-1831
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 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 DC003845L PA Primary

Addresses

Primary practice location

81 Crabtree Dr
Levittown, PA 19055-1617

Mailing address

81 Crabtree Dr
Levittown, PA 19055-1617
Phone (215) 949-3720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050201000486 PA Practitioner - Chiropractic 8325099930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Creative Human Performance, LLC CurrentSince Jun 16, 2008 Accepting new patients

Locations

81 Crabtree Dr
Levittown, PA 19055
Phone (215) 364-3722

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1720076235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 CRABTREE DR",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190551617",
            "telephone_number": "215-949-3720",
            "fax_number": "215-949-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 CRABTREE DR",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190551617",
            "telephone_number": "215-949-3720",
            "fax_number": "215-949-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAFFIN",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC003845L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.