Boris Dov Djerassi, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1980 Issued in MA

Practice address

400 Bedford St
Fall River, MA 02720-3034

Phone

(508) 677-2222

Fax

(508) 730-1223

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Dr. Boris Dov Djerassi Other name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1285711606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 HIGHLAND AVE",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027471151",
            "telephone_number": "508-672-0158",
            "fax_number": "508-730-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BEDFORD ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027203034",
            "telephone_number": "508-677-2222",
            "fax_number": "508-730-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJERASSI",
        "first_name": "BORIS",
        "middle_name": "DOV",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM - MA. ID#",
            "identifier": "352327",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP US HELATHCARE",
            "identifier": "667631",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS - MA. ID #",
            "identifier": "Y36409",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS - RI. ID #",
            "identifier": "7267-8",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP - RI. ID #",
            "identifier": "409082",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BORIS",
            "last_name": "DJERASSI",
            "middle_name": "DOV",
            "prefix": "DR.",
            "credential": "DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Judith Mund Dischel, M.D.
• Dahiana Disla
• Vincent William Dispigno, PHARM.D.
• Julie Ditata, AGNP-C
• Dante Divozzi
• Marcellene S Doctor, M.D.
• Sophia C Doely, LPN
• Richard Doherty
• Adryon Domenico, MFTI
• Susan E. Domingue, LICSW

• Chiropractor in Fall River, MA
• Providers in Fall River, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.