Active NPI
Optimal Chiropractic and Wellness LLC
- Chiropractor
- Cambridge, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Saman Pezeshki, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.optchiro.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Cambridge, MA
- NPI 1316475353
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.