Individual provider Active NPI

Ryan Antoney Casagranda, D.C.

  • Chiropractor
  • Boston, MA
National Provider Identifier
1720397391
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3292 Issued in MA
Practice address
102 Charles St
Boston, MA 02114-4607
Phone
(617) 720-1992
Fax
(617) 248-9916
NPI assigned
Sep 30, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3292 MA Primary

Addresses

Primary practice location

102 Charles St
Boston, MA 02114-4607

Mailing address

45 Commodore LN
Marstons Mills, MA 02648-1600
Phone (860) 910-7880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101217000717 MA Practitioner - Chiropractic 2163610122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2957 Falmouth Rd
Suite A1
Osterville, MA 02655-1273
Phone (774) 521-3627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Ryan Casagranda, Inc Chiropractor CurrentSince Jan 5, 2015 Accepting new patients

Locations

2957 Falmouth Rd
Ste A1
Osterville, MA 02655
Phone (774) 521-3627

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": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1720397391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 COMMODORE LN",
            "city": "MARSTONS MILLS",
            "state": "MA",
            "postal_code": "026481600",
            "telephone_number": "860-910-7880",
            "fax_number": "774-521-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CHARLES ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021144607",
            "telephone_number": "617-720-1992",
            "fax_number": "617-248-9916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASAGRANDA",
        "first_name": "RYAN",
        "middle_name": "ANTONEY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-30",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.