Individual provider Active NPI

Joseph Stephen Schlaffer, D.C.

  • Chiropractor
  • Agawam, MA
National Provider Identifier
1811922602
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
499 Issued in MA
Practice address
192 Shoemaker LN
Agawam, MA 01001-3616
Phone
(413) 789-1369
Fax
(413) 789-7136
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 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 499 MA Primary

Addresses

Primary practice location

192 Shoemaker LN
Agawam, MA 01001-3616

Mailing address

1255 Main St
Agawam, MA 01001-2536
Phone (413) 789-2143

Other identifiers 2

IdentifierTypeStateIssuer
042739973OtherMATAX IDENTIFICATION NUMBE
1604902MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
499MAMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211500800000",
    "number": "1811922602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 MAIN ST",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010012536",
            "telephone_number": "413-789-2143",
            "fax_number": "413-789-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 SHOEMAKER LN",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010013616",
            "telephone_number": "413-789-1369",
            "fax_number": "413-789-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLAFFER",
        "first_name": "JOSEPH",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX  IDENTIFICATION NUMBE",
            "identifier": "042739973",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1604902",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Agawam, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.