Individual provider Active NPI

Michael J Granato, DC

  • Chiropractor
  • Bridgeport, CT
National Provider Identifier
1891422432
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2266 Issued in CT
Practice address
1677 E Main St
Bridgeport, CT 06608-1155
Phone
(860) 716-8125
NPI assigned
Aug 3, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2266 CT Primary

Addresses

Primary practice location

1677 E Main St
Bridgeport, CT 06608-1155

Mailing address

850 Atlantic St
Bridgeport, CT 06604-5276
Phone (860) 716-8125

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL MikeGranato

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230502002832 CT Practitioner - Chiropractic 8123483815 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr William C Deangelo PC Chiropractor CurrentSince Apr 1, 2023 Accepting new patients

Locations

531 New Haven Ave
Milford, CT 06460
Phone (203) 877-4469

107 Glenbrook Rd
Stamford, CT 06902
Phone (203) 898-4982

1505 Barnum Ave
Stratford, CT 06614
Phone (203) 381-9000

466 Derby Ave
West Haven, CT 06516
Phone (203) 337-1999

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": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1891422432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 ATLANTIC ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066045276",
            "telephone_number": "860-716-8125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1677 E MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066081155",
            "telephone_number": "860-716-8125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANATO",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "2266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "MikeGranato",
            "affiliation": "N",
            "address_1": "1677 E Main St",
            "city": "Bridgeport",
            "state": "CT",
            "country_code": "US",
            "postal_code": "066081155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.