Organization Active NPI

Leeann Berard

  • Chiropractor
  • Worcester, MA
National Provider Identifier
1104911833
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2052 Issued in MA
Legal business name
LEEANN BERARD
Practice address
124 Russell St
Suite a
Worcester, MA 01609-1910
Phone
(508) 753-0503
Fax
(508) 757-1922
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Authorized official

Name
Dr. Leeann Berard, DC
Title
Owner
Phone
(503) 753-0503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2052 MA Primary

Addresses

Primary practice location

124 Russell St
Suite a
Worcester, MA 01609-1910

Mailing address

124 Russell St
Suite a
Worcester, MA 01609-1910
Phone (508) 753-0503

Other names 1

  • Elm Park Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

124 Russell St
Worcester, MA 01609
Phone (508) 753-0503

124 Russell St
Ste A
Worcester, MA 01609
Phone (508) 753-0503

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1104911833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 RUSSELL ST",
            "address_2": "SUITE A",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091910",
            "telephone_number": "508-753-0503",
            "fax_number": "508-757-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 RUSSELL ST",
            "address_2": "SUITE A",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091910",
            "telephone_number": "508-753-0503",
            "fax_number": "508-757-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEEANN BERARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "BERARD",
        "authorized_official_first_name": "LEEANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-753-0503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elm Park Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.