Organization Active NPI

Todd C Buckley PC

  • Chiropractor
  • Peabody, MA
National Provider Identifier
1255548715
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TODD C BUCKLEY PC
Practice address
379 Lowell St
Peabody, MA 01960-2720
Phone
(978) 531-7321
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Todd C Buckley, D.C.NPI 1669567160
Title
Owner
Phone
(978) 531-7321

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 MA Primary

Addresses

Primary practice location

379 Lowell St
Peabody, MA 01960-2720

Mailing address

379 Lowell St
Peabody, MA 01960-2720
Phone (978) 531-7321

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080110000284 MA Part B Supplier - Clinic/Group Practice 8022198464 Receives reassigned benefits from 1 practitioner
Practice locations: Peabody, MA

National Provider Directory

National Provider Directory

Locations

379 Lowell St
Peabody, MA 01960
Phone (978) 531-7321

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": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1255548715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 LOWELL ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602720",
            "telephone_number": "978-531-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 LOWELL ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602720",
            "telephone_number": "978-531-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD C BUCKLEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-531-7321",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.