Active NPI
Otto Todorov, DC
- Chiropractor
- Needham, MA
National Provider Identifier
1407962525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MA1076
- Practice address
- 105 Chestnut St
Suite 35
Needham, MA 02492-2599 - Phone
- (617) 605-2429
- Fax
- (781) 444-7427
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MA1076 | MA | Primary |
Addresses
Primary practice location
105 Chestnut St
Suite 35
Needham, MA 02492-2599
Mailing address
105 Chestnut St
Suite 35
Needham, MA 02492-2599
Phone (617) 605-2429
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y35756 | Other | MA | BCBSMA |
| 35450 | Other | MA | HARVARDPILGRIM HC |
| 761746 | Other | MA | TUFTS HEALTH PLANS |
| 1607847 | Other | MA | MASSHEALTH |
| 288140 | Other | MA | CIGNA |
| 481021 | Other | MA | AETNA |
| 4400166 | Other | MA | UNITEDHEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060427000629 | MA | Practitioner - Chiropractic | 7416967997 | Practice locations: Needham, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
105 Chestnut St
Needham, MA 02492-2520
Phone (781) 444-3772
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA1076 | MA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1407962525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 CHESTNUT ST",
"address_2": "SUITE 35",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024922599",
"telephone_number": "617-605-2429",
"fax_number": "781-444-7427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 CHESTNUT ST",
"address_2": "SUITE 35",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024922599",
"telephone_number": "617-605-2429",
"fax_number": "781-444-7427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TODOROV",
"first_name": "OTTO",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "MA1076",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA",
"identifier": "Y35756",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARDPILGRIM HC",
"identifier": "35450",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLANS",
"identifier": "761746",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSHEALTH",
"identifier": "1607847",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "288140",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "481021",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "4400166",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Needham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.