Jacob Astapoveh, DC
Individual provider Active NPI Chiropractor · Lexington, MA
NPI 1497579742 · NPPES record last updated Dec 18, 2024
Key facts
- NPI
- 1497579742
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CHI5125 (MA)
- Practice address
- 16 Clarke St Ste 12
Lexington, MA 02421-4938 - Phone
- (617) 680-9436
- NPI assigned
- Nov 13, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250418002120 | MA | Practitioner - Chiropractic | 9739604026 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHI5125 | MA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington Family Chiropractic, PLLC | Chiropractor | Current |
Accepting new patients |
Locations
16 Clarke St
Ste 12
Lexington, MA 02421
Phone (617) 686-8851
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHI5125 | MA | Yes |
Addresses
Primary practice location
16 Clarke St Ste 12
Lexington, MA 02421-4938
Mailing address
16 Clarke St Ste 12
Lexington, MA 02421-4938
Other providers in Lexington, MA
- Keith Paul Asarkof
- Nicole Eder Asebias
- Yvonne M Asher
- Aaron Moshe Askanase
- Ammarah Aslam
- Robert W Astapoveh
- Maria Ataliotis
- Matthew Kilton Attaya
- Amy Louise Aubertin
- Autism Inclusive, LLC
All providers in Lexington, MA · Chiropractor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.