NPIMap

Organization Active NPI

Merrimack Valley Chiropractic, Inc

  • Chiropractor
  • Dracut, MA
National Provider Identifier
1205025285
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1901 Issued in MA
Legal business name
MERRIMACK VALLEY CHIROPRACTIC, INC
Practice address
1540 Bridge St
Dracut, MA 01826-2611
Phone
(978) 454-4300
Fax
(978) 454-8277
NPI assigned
Oct 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Authorized official

Name
Dr. Leah Parent Geary, D.C.NPI 1831245208
Title
Doctor of Chiropractic
Phone
(978) 454-4300

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 1901 MA Primary

Addresses

Primary practice location

1540 Bridge St
Dracut, MA 01826-2611

Mailing address

1540 Bridge St
Dracut, MA 01826-2611
Phone (978) 454-4300

Other identifiers 5

IdentifierTypeStateIssuer
1610554OtherMAMASSHEALTH
0686337OtherMACIGNA
1831245208OtherMATUFTS
Y39895OtherMABLUE CROSS BLUE SHIEL
350014OtherMAHARVARD PILGRIM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120228000150 MA Part B Supplier - Clinic/Group Practice 0941468557 Receives reassigned benefits from 1 practitioner
Practice locations: Dracut, MA

National Provider Directory

National Provider Directory

Locations

1540 Bridge St
Dracut, MA 01826
Phone (978) 454-4300

Practitioners & affiliated clinicians

Practitioners 1

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": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1205025285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 BRIDGE ST",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018262611",
            "telephone_number": "978-454-4300",
            "fax_number": "978-454-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 BRIDGE ST",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018262611",
            "telephone_number": "978-454-4300",
            "fax_number": "978-454-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRIMACK VALLEY CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "GEARY",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "PARENT",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "978-454-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSHEALTH",
            "identifier": "1610554",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0686337",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "1831245208",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIEL",
            "identifier": "Y39895",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "350014",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dracut, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.