Individual provider Active NPI

Timothy William Gallagher, DC

  • Chiropractor
  • Leominster, MA
National Provider Identifier
1245320886
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2172 Issued in MA
Practice address
54 William Street
Leominster, MA 01453-3276
Phone
(978) 537-0555
Fax
(978) 537-2193
NPI assigned
Oct 13, 2006
Last updated
Feb 19, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2172 MA Primary

Addresses

Primary practice location

54 William Street
Leominster, MA 01453-3276

Mailing address

54 William Street
Leominster, MA 01453-3276
Phone (978) 537-0555

Other identifiers 3

IdentifierTypeStateIssuer
774841OtherTUFTS
210112OtherAMERICAN SPECIAL
Y3653COtherBC BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040831000926 MA Practitioner - Chiropractic 4587639745 Reassigns benefits to 2 organizations
Practice locations: Leominster, MA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gallagher Chiropractic P.C.Group PAC ID 3375939317, 2 clinicians

Practice addresses (Care Compare)

54 Williams St
Leominster, MA 01453-3276
Phone (978) 537-0555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2172MAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gallagher Chiropractic P.C. Chiropractor CurrentSince Jan 3, 2022 Accepting new patients
Maragal Medical PC CurrentSince Feb 2, 2018 Accepting new patients

Locations

54 Williams St
Leominster, MA 01453
Phone (978) 537-0555

Interoperability endpoints

  • Direct secure messaging: drgallagher@dtwgdp-ma.direct.office.nextgen.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1245320886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 WILLIAM STREET",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533276",
            "telephone_number": "978-537-0555",
            "fax_number": "978-537-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 WILLIAM STREET",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533276",
            "telephone_number": "978-537-0555",
            "fax_number": "978-537-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "TIMOTHY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "774841",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPECIAL",
            "identifier": "210112",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "Y3653C",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.