Active NPI
Michael Jude Glaiel, D.C.
- Chiropractor
- Southampton, MA
National Provider Identifier
1992798383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 763
- Practice address
- 166 College Hwy
Southampton, MA 01073-9272 - Phone
- (413) 527-9903
- Fax
- (413) 527-9904
- NPI assigned
- Aug 31, 2005
- Last updated
- Sep 10, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 763 | MA | Primary |
Addresses
Primary practice location
166 College Hwy
Southampton, MA 01073-9272
Mailing address
PO Box 431
Southampton, MA 01073-0431
Phone (413) 527-9903
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0849709001 | Other | MA | CIGNA |
| 35692 | Other | MA | HARVARD PILGRAM |
| 407099 | Other | MA | TUFTS |
| 665304 | Other | MA | ACN |
| 0781862 | Other | MA | AETNA |
| Y35657 | Other | MA | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060427000164 | MA | Practitioner - Chiropractic | 7517977143 | Practice locations: Southampton, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
166 College Hwy
Box 431
Southampton, MA 01073-0431
Phone (413) 527-9903
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1992798383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 431",
"city": "SOUTHAMPTON",
"state": "MA",
"postal_code": "010730431",
"telephone_number": "413-527-9903",
"fax_number": "413-527-9904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 COLLEGE HWY",
"city": "SOUTHAMPTON",
"state": "MA",
"postal_code": "010739272",
"telephone_number": "413-527-9903",
"fax_number": "413-527-9904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLAIEL",
"first_name": "MICHAEL",
"middle_name": "JUDE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "763",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0849709001",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRAM",
"identifier": "35692",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "407099",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "665304",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0781862",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "Y35657",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.