Individual provider Active NPI

Nancy R Politis, DC

  • Chiropractor
  • Pittsfield, MA
National Provider Identifier
1396727939
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2343 Issued in MA
Practice address
379 South St
Pittsfield, MA 01201-6803
Phone
(413) 443-6337
Fax
(413) 403-5100
NPI assigned
Nov 18, 2005
Last updated
Jun 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2343 MA Primary

Addresses

Primary practice location

379 South St
Pittsfield, MA 01201-6803

Mailing address

324 E New Lenox Rd
Pittsfield, MA 01201-8311
Phone (413) 499-0985

Other identifiers 2

IdentifierTypeStateIssuer
350038917OtherGAPALMETTO GBA
Y37025OtherMABLUE CROSS BLUE SHIELD

Other names 1

  • Nancy R Quevillon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2343MAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Politis Family Chiropractic PC Chiropractor PastSince Jul 2, 2018 Accepting new patients

Organizations & group practices 1

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1396727939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 E NEW LENOX RD",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012018311",
            "telephone_number": "413-499-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016803",
            "telephone_number": "413-443-6337",
            "fax_number": "413-403-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLITIS",
        "first_name": "NANCY",
        "middle_name": "R",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "350038917",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y37025",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "QUEVILLON",
            "middle_name": "R",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.