NPIMap

Organization Active NPI

Billerica Chiropractic Office,P.C.

  • Chiropractor
  • Billerica, MA
National Provider Identifier
1649359472
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
148 Issued in MA
Legal business name
BILLERICA CHIROPRACTIC OFFICE,P.C.
Practice address
25 Bridge St
Billerica, MA 01821-1023
Phone
(978) 667-1932
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Honi Kawut, D.C.NPI 1124107404
Title
President
Phone
(978) 667-1932

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 148 MA Primary

Addresses

Primary practice location

25 Bridge St
Billerica, MA 01821-1023

Mailing address

25 Bridge St
Billerica, MA 01821-1023
Phone (978) 667-1932

Other identifiers 3

IdentifierTypeStateIssuer
Y39053OtherMABLUE CROSS/BLUE SHIELD
714116OtherMATUFTS
714116OtherMASECURE HORIZONS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070323000185 MA Part B Supplier - Clinic/Group Practice 5698879179 Receives reassigned benefits from 3 practitioners
Practice locations: Billerica, MA

National Provider Directory

National Provider Directory

Locations

25 Bridge St
Ste 1
Billerica, MA 01821
Phone (978) 667-1932

25 Bridge St
Billerica, MA 01821
Phone (508) 667-1932

Practitioners & affiliated clinicians

Practitioners 7

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": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649359472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BRIDGE ST",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018211023",
            "telephone_number": "978-667-1932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BRIDGE ST",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018211023",
            "telephone_number": "978-667-1932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILLERICA CHIROPRACTIC OFFICE,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAWUT",
        "authorized_official_first_name": "HONI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-667-1932",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "Y39053",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "714116",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURE HORIZONS",
            "identifier": "714116",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Billerica, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.