Dracut Chiropractic Center, P.C.
Organization Active NPI Chiropractor · Dracut, MA
NPI 1023197043 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1023197043
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2856 (MA)
- Legal business name
- DRACUT CHIROPRACTIC CENTER, P.C.
- Practice address
- 1533 Lakeview Ave
Suite2
Dracut, MA 01826-3324 - Phone
- (978) 453-2792
- NPI assigned
- Nov 2, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. David Gelineau, D.C.
- Title
- President
- Phone
- (978) 453-2792
Practitioners 2
-
David Gelineau, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050802000175 | MA | Part B Supplier - Clinic/Group Practice | 9739117631 |
Receives reassigned benefits from 1 practitioner Practice locations: Dracut, MA |
National Provider Directory
Locations
1533 Lakeview Ave
Ste 2
Dracut, MA 01826
Phone (978) 453-2792
1408 Bridge St
Dracut, MA 01826
Phone (978) 453-0800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 2856 | MA | Yes |
Addresses
Primary practice location
1533 Lakeview Ave
Suite2
Dracut, MA 01826-3324
Mailing address
1533 Lakeview Ave
Suite2
Dracut, MA 01826-3324
Phone (978) 453-2792
Other providers in Dracut, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.