NPIMap

Organization Active NPI

Dr Andrey Okhrimenko Family Chiropractic

  • Nutrition Chiropractor
  • Chicopee, MA
National Provider Identifier
1013435981
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
3410 Issued in MA
Legal business name
DR ANDREY OKHRIMENKO FAMILY CHIROPRACTIC
Practice address
53 Springfield St
Chicopee, MA 01013
Phone
(413) 331-5023
Fax
(413) 331-5024
NPI assigned
Aug 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Andrey Okhrimenko, DCNPI 1841538717
Title
Chiropractor
Phone
(413) 331-5023

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 3410 MA
Nutrition ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NN1001X 3410 MA Primary
Thermography ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NT0100X 3410 MA

Addresses

Primary practice location

53 Springfield St
Chicopee, MA 01013

Mailing address

53 Springfield St
Chicopee, MA 01013-2624
Phone (413) 331-5023

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180219001185 MA Part B Supplier - Clinic/Group Practice 2668733486 Receives reassigned benefits from 2 practitioners
Practice locations: Chicopee, MA

National Provider Directory

National Provider Directory

Locations

55 Main St
Ste 104
Chicopee, MA 01020
Phone (413) 331-5023

Practitioners & affiliated clinicians

Practitioners 2

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": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1013435981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 SPRINGFIELD ST",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010132624",
            "telephone_number": "413-331-5023",
            "fax_number": "413-331-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 SPRINGFIELD ST",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "01013",
            "telephone_number": "413-331-5023",
            "fax_number": "413-331-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ANDREY OKHRIMENKO FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "OKHRIMENKO",
        "authorized_official_first_name": "ANDREY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "413-331-5023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3410",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "MA",
            "license": "3410",
            "primary": true
        },
        {
            "code": "111NT0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Thermography",
            "state": "MA",
            "license": "3410",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicopee, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.