NPIMap

Organization Active NPI

Dr. Jessica Camplese LLC

  • Chiropractor
  • Woburn, MA
National Provider Identifier
1578150686
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DR. JESSICA CAMPLESE LLC
Practice address
100 Tower Office Park Ste U
Woburn, MA 01801-2127
Phone
(781) 608-5196
NPI assigned
Dec 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Authorized official

Name
Jessica Camplese, DCNPI 1144593039
Title
Owner
Phone
(781) 608-5196

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X

Addresses

Primary practice location

100 Tower Office Park Ste U
Woburn, MA 01801-2127

Mailing address

100 Tower Office Park Ste U
Woburn, MA 01801-2127
Phone (781) 608-5196

Other identifiers 3

IdentifierTypeStateIssuer
992877OtherMATUFTS PUBLIC HEALTH PLANS
12351901OtherCAQH
1139762OtherASH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drjessica@newenglandsportstherapy.com Direct

National Provider Directory

National Provider Directory

Locations

100 Tower Office Park
Ste U
Woburn, MA 01801
Phone (781) 608-5196

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1578150686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TOWER OFFICE PARK STE U",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012127",
            "telephone_number": "781-608-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TOWER OFFICE PARK STE U",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012127",
            "telephone_number": "781-608-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JESSICA CAMPLESE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "CAMPLESE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-608-5196",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS PUBLIC HEALTH PLANS",
            "identifier": "992877",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12351901",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASH",
            "identifier": "1139762",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drjessica@newenglandsportstherapy.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "100 Tower Office Park Ste U",
            "city": "Woburn",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018012127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.