Organization Active NPI

Optimal Chiropractic and Wellness LLC

  • Chiropractor
  • Cambridge, MA
National Provider Identifier
1548849177
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
OPTIMAL CHIROPRACTIC AND WELLNESS LLC
Practice address
1798A Massachusetts Ave, Ste 3B
Cambridge, MA 02140
Phone
(617) 500-9116
NPI assigned
Apr 2, 2021
Last updated
Apr 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Authorized official

Name
Dr. Saman Pezeshki, DCNPI 1316475353
Title
Owner
Phone
(617) 500-9116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1798A Massachusetts Ave, Ste 3B
Cambridge, MA 02140

Mailing address

31 Cherokee Rd
Arlington, MA 02474-1946

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.optchiro.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250314000573 MA Part B Supplier - Clinic/Group Practice 1951823335 Receives reassigned benefits from 2 practitioners
Practice locations: Cambridge, MA

National Provider Directory

National Provider Directory

Locations

1798 Massachusetts Ave
Ste 3B
Cambridge, MA 02140
Phone (617) 500-9116

1798 Massachusetts Ave
Ste B
Cambridge, MA 02140
Phone (617) 500-9116

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617321600000",
    "number": "1548849177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 CHEROKEE RD",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024741946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1798A MASSACHUSETTS AVE, STE 3B",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "02140",
            "telephone_number": "617-500-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL CHIROPRACTIC AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-04-02",
        "certification_date": "2021-03-13",
        "status": "A",
        "authorized_official_last_name": "PEZESHKI",
        "authorized_official_first_name": "SAMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-500-9116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.optchiro.com",
            "affiliation": "N",
            "endpointDescription": "Contact us on website",
            "address_1": "1798A Massachusetts Ave, STE 3B",
            "city": "Cambridge",
            "state": "MA",
            "country_code": "US",
            "postal_code": "02140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.