NPIMap

Organization Active NPI

Eileen Geralyn Cejka

Doing business as Assabet Valley Chiropractic

  • Chiropractor
  • Maynard, MA
National Provider Identifier
1073678827
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
EILEEN GERALYN CEJKA
Doing business as
Assabet Valley Chiropractic
Practice address
1 Pleasant St
Maynard, MA 01754-1360
Phone
(978) 897-8276
Fax
(978) 897-8825
NPI assigned
Dec 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Eileen Geralyn Cejka, DCNPI 1003899568
Title
Owner
Phone
(978) 897-8276

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

1 Pleasant St
Maynard, MA 01754-1360

Mailing address

1 Pleasant St
Maynard, MA 01754-1360
Phone (978) 897-8276

Other identifiers 1

IdentifierTypeStateIssuer
442000OtherMAUHC

Other names 1

  • Assabet Valley Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1 Pleasant St
Maynard, MA 01754
Phone (978) 897-8276

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073678827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PLEASANT ST",
            "city": "MAYNARD",
            "state": "MA",
            "postal_code": "017541360",
            "telephone_number": "978-897-8276",
            "fax_number": "978-897-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PLEASANT ST",
            "city": "MAYNARD",
            "state": "MA",
            "postal_code": "017541360",
            "telephone_number": "978-897-8276",
            "fax_number": "978-897-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EILEEN GERALYN CEJKA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CEJKA",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "GERALYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-897-8276",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "442000",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assabet Valley Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maynard, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.