Derrick Pallis, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3680 Issued in MA

Practice address

28 Philip St
Medfield, MA 02052-2705

Phone

(843) 743-6667

NPI assigned

Feb 6, 2020

Last updated

Apr 3, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Full Power Chiropractic P.C.

  • Chiropractor
  • Medfield, MA
  • NPI 1093347130
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617408000000",
    "number": "1205468345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 EAST ST",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020812900",
            "telephone_number": "508-921-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 PHILIP ST",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020522705",
            "telephone_number": "843-743-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLIS",
        "first_name": "DERRICK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-06",
        "last_updated": "2021-04-03",
        "certification_date": "2021-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda J O'Shea, LPN
• Ochenna Norah Okoro, RN
• Ilana Orelowitz, OD
• Jade Pacheco
• Howard Paisner, CRT
• Veronica Paris, LICSW
• Jennifer Ann Pavia-Shiels, LICSW
• Karen Pease, M.S.
• Meredith Peltzman
• Rukshini Perera

• Chiropractor in Medfield, MA
• Providers in Medfield, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.