Individual provider Active NPI

Michael Benjamin Chiapetto, DC MSC

  • Chiropractor
  • Springfield, IL
National Provider Identifier
1831693621
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.013203 Issued in IL
Practice address
1340 S State St
Springfield, IL 62704-3625
Phone
(217) 679-0232
NPI assigned
Mar 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.013203 IL Primary

Addresses

Primary practice location

1340 S State St
Springfield, IL 62704-3625

Mailing address

1340 S State St
Springfield, IL 62704-3625
Phone (217) 679-0232

Other practice location 1

1231 Frank Scott Pkwy E Ste 100
Shiloh, IL 62269-7203
Phone (618) 234-8300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260113004289 CO Practitioner - Chiropractic 9436635000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1790 30TH St
Suite 100
Boulder, CO 80301-1019

6224 Powell Rd
Parker, CO 80134-5619

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.013203ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Muv Chiropractic Health Center PLLC Chiropractor CurrentSince Nov 15, 2025 Accepting new patients
Muv Chiropractic & Yoga PastSince Nov 15, 2025 Accepting new patients
Telos Chirpractic LLC Chiropractor Past Accepting new patients

Locations

1790 30th St
Ste 100
Boulder, CO 80301
Phone (720) 636-6064

Organizations & group practices 3

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": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1831693621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 S STATE ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627043625",
            "telephone_number": "217-679-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 S STATE ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627043625",
            "telephone_number": "217-679-0232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1231 Frank Scott Pkwy E Ste 100",
            "address_purpose": "LOCATION",
            "city": "Shiloh",
            "state": "IL",
            "postal_code": "622697203",
            "country_code": "US",
            "telephone_number": "618-234-8300",
            "fax_number": "618-234-8295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIAPETTO",
        "first_name": "MICHAEL",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DC MSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.