Daniel Ceballos
Individual provider Active NPI Chiropractor · Southbridge, MA
NPI 1639628555 · NPPES record last updated Sep 27, 2021
Key facts
- NPI
- 1639628555
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3552 (MA)
- Practice address
- 22 Goddard St
Southbridge, MA 01550-2482 - Phone
- (508) 505-5155
- NPI assigned
- Oct 4, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3552 | MA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Michael Darr DC | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3552 | MA | Yes |
Addresses
Primary practice location
22 Goddard St
Southbridge, MA 01550-2482
Mailing address
155 Northland Dr
Medina, OH 44256-1534
Phone (330) 723-1441
Other providers in Southbridge, MA
- Cardinal Home Health Resources Inc
- Christine A Carey
- Paul J Carey
- Karen A Carpenter
- Judith Ann Carr
- Central Mass Dermatology PC
- Central Massachusetts Comprehensive Cancer Center LLC
- Central Massachusetts Comprehensive Cancer Center, LLC
- Karen Sue Chapman
- Maria Charlton
All providers in Southbridge, 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 Sep 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.