Organization Active NPI

New England Chiropractic Health Clinic, Inc.

  • Rehabilitation Chiropractor
  • Worcester, MA
National Provider Identifier
1487771044
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
1492 Issued in MA
Legal business name
NEW ENGLAND CHIROPRACTIC HEALTH CLINIC, INC.
Practice address
192 Lincoln St
Worcester, MA 01605-2501
Phone
(508) 795-1555
Fax
(508) 755-4464
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Authorized official

Name
Dr. Fredrick H. Chassman, D.C.
Title
Owner
Phone
(508) 795-1555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 1492 MA Primary

Addresses

Primary practice location

192 Lincoln St
Worcester, MA 01605-2501

Mailing address

192 Lincoln St
Worcester, MA 01605-2501
Phone (508) 795-1555

Other identifiers 2

IdentifierTypeStateIssuer
Y39546OtherMABLUE CROSS MA
Y49061OtherMEDICARE PART B

National Provider Directory

National Provider Directory

Locations

192 Lincoln St
Worcester, MA 01605
Phone (508) 795-1555

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1487771044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 LINCOLN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052501",
            "telephone_number": "508-795-1555",
            "fax_number": "508-755-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 LINCOLN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052501",
            "telephone_number": "508-795-1555",
            "fax_number": "508-755-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND CHIROPRACTIC HEALTH CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "CHASSMAN",
        "authorized_official_first_name": "FREDRICK",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-795-1555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MA",
            "license": "1492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MA",
            "identifier": "Y39546",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "Y49061",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.