Organization Active NPI

Pike Chiropractic Inc

  • Chiropractor
  • Danvers, MA
National Provider Identifier
1407277965
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PIKE CHIROPRACTIC INC
Practice address
35 Poplar St
Danvers, MA 01923-2230
Phone
(978) 774-7667
NPI assigned
Dec 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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

Authorized official

Name
Mrs. Elizabeth Wetmore
Title
Office Manager
Phone
(978) 774-7667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

35 Poplar St
Danvers, MA 01923-2230

Mailing address

35 Poplar St
Danvers, MA 01923-2230
Phone (978) 774-7667

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140428000290 MA Part B Supplier - Clinic/Group Practice 2062645039 Receives reassigned benefits from 1 practitioner
Practice locations: Danvers, MA

National Provider Directory

National Provider Directory

Locations

35 Poplar St
Danvers, MA 01923
Phone (978) 774-7667

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": "1388361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388361600000",
    "number": "1407277965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 POPLAR ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232230",
            "telephone_number": "978-774-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 POPLAR ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232230",
            "telephone_number": "978-774-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-30",
        "last_updated": "2013-12-30",
        "status": "A",
        "authorized_official_last_name": "WETMORE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "978-774-7667",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; 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.