Individual provider Active NPI

Michael E. Nicaretta, D.C.

  • Chiropractor
  • Springfield, MA
National Provider Identifier
1952340259
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1442 Issued in MA
Practice address
305 Bicentennial Hwy
Springfield, MA 01118-1962
Phone
(413) 733-4101
Fax
(413) 796-6821
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 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 1442 MA Primary

Addresses

Primary practice location

305 Bicentennial Hwy
Springfield, MA 01118-1962

Mailing address

305 Bicentennial Hwy
Springfield, MA 01118-1962
Phone (413) 733-4101

Other identifiers 1

IdentifierTypeStateIssuer
1610228MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060505000478 MA Practitioner - Chiropractic 7214948264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

275 Bicentennial Hwy
Suite 211
Springfield, MA 01118-1965
Phone (413) 264-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Western Mass Chiropractic PC Chiropractor CurrentSince Dec 23, 2020 Accepting new patients
Riverbend Medical Group, Inc Past Accepting new patients

Locations

275 Bicentennial Hwy
Ste 211
Springfield, MA 01118
Phone (413) 264-0700

Organizations & group practices 2

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1952340259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 BICENTENNIAL HWY",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011181962",
            "telephone_number": "413-733-4101",
            "fax_number": "413-796-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 BICENTENNIAL HWY",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011181962",
            "telephone_number": "413-733-4101",
            "fax_number": "413-796-6821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICARETTA",
        "first_name": "MICHAEL",
        "middle_name": "E.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1610228",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

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