Organization Active NPI

Gallagher Chiropractic P.C.

  • Chiropractor
  • Leominster, MA
National Provider Identifier
1316605702
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GALLAGHER CHIROPRACTIC P.C.
Practice address
54 Williams St
Leominster, MA 01453-3276
Phone
(978) 537-0555
Fax
(978) 537-2193
NPI assigned
Dec 2, 2021
Last updated
Dec 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Authorized official

Name
Dr. Timothy William Gallagher, D.C.NPI 1245320886
Title
Owner/President
Phone
(978) 537-0555

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 NU Primary

Addresses

Primary practice location

54 Williams St
Leominster, MA 01453-3276

Mailing address

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

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EMR Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220331000767 MA Part B Supplier - Clinic/Group Practice 3375939317 Receives reassigned benefits from 3 practitioners
Practice locations: Leominster, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1316605702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 WILLIAMS ST",
            "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 WILLIAMS ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533276",
            "telephone_number": "978-537-0555",
            "fax_number": "978-537-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLAGHER CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "978-537-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "endpointDescription": "NEXT GEN PRACTICE MANAGEMENT SOFTWARE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "54 Williams St",
            "city": "Leominster",
            "state": "MA",
            "country_code": "US",
            "postal_code": "014533276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 2, 2021; 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.