Individual provider Active NPI

Damon J Gangemi, D.C.

  • Chiropractor
  • Stoughton, MA
National Provider Identifier
1720105075
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1841 Issued in MA
Practice address
294 Pleasant St
Suite 104
Stoughton, MA 02072-2571
Phone
(784) 344-8878
Fax
(781) 344-0642
NPI assigned
Mar 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1841 MA Primary

Addresses

Primary practice location

294 Pleasant St
Suite 104
Stoughton, MA 02072-2571

Mailing address

294 Pleasant St
Suite 104
Stoughton, MA 02072-2571
Phone (784) 344-8878

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120306000249 MA Practitioner - Chiropractic 1658530928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

294 Pleasant St
Stoughton, MA 02072-2571
Phone (781) 344-8879

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1841MAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gangemi Chiropractic PC Chiropractor CurrentSince Jan 1, 2012 Accepting new patients

Locations

294 Pleasant St
Ste 104
Stoughton, MA 02072
Phone (781) 344-8878

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1720105075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 PLEASANT ST",
            "address_2": "SUITE 104",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020722571",
            "telephone_number": "784-344-8878",
            "fax_number": "781-344-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 PLEASANT ST",
            "address_2": "SUITE 104",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020722571",
            "telephone_number": "784-344-8878",
            "fax_number": "781-344-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANGEMI",
        "first_name": "DAMON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.