Organization Active NPI

Chirocare Associates, PC

  • Chiropractor
  • Wilmington, MA
National Provider Identifier
1235380460
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2830 Issued in MA
Legal business name
CHIROCARE ASSOCIATES, PC
Practice address
64G Concord St
Wilmington, MA 01887-2179
Phone
(781) 488-3388
Fax
(781) 488-3363
NPI assigned
Oct 7, 2008
Last updated
Oct 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Authorized official

Name
Dr. Keith M Puri, D.C.NPI 1962468439
Title
Co-Owner
Phone
(781) 488-3388

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
Chiropractor 111N00000X 2830 MA Primary

Addresses

Primary practice location

64G Concord St
Wilmington, MA 01887-2179

Mailing address

64G Concord St
Wilmington, MA 01887-2179
Phone (781) 488-3388

Other identifiers 1

IdentifierTypeStateIssuer
0005495OtherMAMEDICARE PTAN

Other names 1

  • ChiroCare - Wilmington Other name

National Provider Directory

National Provider Directory

Locations

64G Concord St
Wilmington, MA 01887
Phone (781) 488-3388

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": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1235380460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64G CONCORD ST",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018872179",
            "telephone_number": "781-488-3388",
            "fax_number": "781-488-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64G CONCORD ST",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018872179",
            "telephone_number": "781-488-3388",
            "fax_number": "781-488-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROCARE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "PURI",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "781-488-3388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0005495",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ChiroCare - Wilmington",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilmington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.