Individual provider Active NPI

Chris A. Kowalik, DC

  • Chiropractor
  • Westford, MA
National Provider Identifier
1235260712
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1519 Issued in MA
Practice address
3 Littleton Rd
Westford, MA 01886-3130
Phone
(978) 692-5006
Fax
(978) 692-8016
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1519 MA Primary

Addresses

Primary practice location

3 Littleton Rd
Westford, MA 01886-3130

Mailing address

PO Box 429
Westford, MA 01886-0429
Phone (978) 692-5006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060511000047 MA Practitioner - Chiropractic 4981615507 Practice locations: Westford, MA
I20211227000512 SC Practitioner - Chiropractic 4981615507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 Ctr St
Travelers Rest, SC 29690-1828
Phone (978) 995-4909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1519MAMDChiropractor
4469SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Life in Balance Wellness LLC Chiropractor CurrentSince Oct 1, 2021 Accepting new patients
Kowalik Family Chiropractic Inc Chiropractor Past Accepting new patients

Locations

101 Center St
Travelers Rest, SC 29690
Phone (978) 995-4909

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1235260712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018860429",
            "telephone_number": "978-692-5006",
            "fax_number": "978-692-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LITTLETON RD",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863130",
            "telephone_number": "978-692-5006",
            "fax_number": "978-692-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALIK",
        "first_name": "CHRIS",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.