Organization Active NPI

Western Mass Chiropractic PC

  • Chiropractor
  • Springfield, MA
National Provider Identifier
1982218103
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WESTERN MASS CHIROPRACTIC PC
Practice address
275 Bicentennial Hwy Ste 211
Springfield, MA 01118-1965
Phone
(413) 264-0700
NPI assigned
Sep 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Authorized official

Name
Michael E Nicaretta, DCNPI 1952340259
Title
Chiropractor
Phone
(413) 264-0700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

275 Bicentennial Hwy Ste 211
Springfield, MA 01118-1965

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210125000166 MA Part B Supplier - Clinic/Group Practice 8224442702 Receives reassigned benefits from 1 practitioner
Practice locations: Springfield, MA

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1982218103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 BICENTENNIAL HWY STE 211",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011181965",
            "telephone_number": "413-264-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 BICENTENNIAL HWY STE 211",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011181965",
            "telephone_number": "413-264-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MASS CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "NICARETTA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "413-264-0700",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 4, 2020; 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.