Individual provider Active NPI

Michael James Frazetta, DC

  • Chiropractor
  • Sarver, PA
National Provider Identifier
1841286093
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC00S110L Issued in PA
Practice address
117 S Pike Rd
Suite 201
Sarver, PA 16055-9298
Phone
(724) 353-8600
Fax
(724) 353-8610
NPI assigned
Sep 23, 2005
Last updated
May 26, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC00S110L PA Primary

Addresses

Primary practice location

117 S Pike Rd
Suite 201
Sarver, PA 16055-9298

Mailing address

117 S Pike Rd
Suite 201
Sarver, PA 16055-9298
Phone (724) 353-8600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070519000025 PA Practitioner - Chiropractic 1557468956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

117 S Pike Rd
Suite 201
Sarver, PA 16055-9298
Phone (724) 353-8600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC00S110LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Frazetta Chiropractic Health Center Chiropractor Past Accepting new patients
Frazetta Chiropractic Wellness Center Chiropractor PastSince Jan 2, 2009 Accepting new patients
Frazetta Family Chiropractic PC Chiropractor Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1841286093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S PIKE RD",
            "address_2": "SUITE 201",
            "city": "SARVER",
            "state": "PA",
            "postal_code": "160559298",
            "telephone_number": "724-353-8600",
            "fax_number": "724-353-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S PIKE RD",
            "address_2": "SUITE 201",
            "city": "SARVER",
            "state": "PA",
            "postal_code": "160559298",
            "telephone_number": "724-353-8600",
            "fax_number": "724-353-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZETTA",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC00S110L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarver, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.