Individual provider Active NPI

James Martin Cormier, DC

  • Chiropractor
  • Leominster, MA
National Provider Identifier
1659422806
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH-1855 Issued in MA
Practice address
114 Merriam Ave Ste 202
Leominster, MA 01453-3175
Phone
(978) 345-1224
NPI assigned
Jan 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH-1855 MA Primary

Addresses

Primary practice location

114 Merriam Ave Ste 202
Leominster, MA 01453-3175

Mailing address

114 Merriam Ave Ste 202
Leominster, MA 01453-3175
Phone (978) 345-1224

Other practice location 1

17 Pierce Ave
Suite B
Fitchburg, MA 01420-7111
Phone (978) 345-1224

Other identifiers 3

IdentifierTypeStateIssuer
AA41500OtherMAHPHC MA
791471OtherMATUFTS HEALTH PLAN
Y36330OtherMABCBS MA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031126000318 MA Practitioner - Chiropractic 1951205319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

114 Merriam Ave
Suite 202
Leominster, MA 01453-3175
Phone (978) 345-1224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH-1855MAMDChiropractor
1855MAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Wellness Center Inc Chiropractor CurrentSince Jan 2, 2016 Accepting new patients

Locations

17 Pierce Ave
#B
Fitchburg, MA 01420
Phone (978) 345-1224

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1659422806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 MERRIAM AVE STE 202",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533175",
            "telephone_number": "978-345-1224",
            "fax_number": "978-345-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 MERRIAM AVE STE 202",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533175",
            "telephone_number": "978-345-1224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Pierce Ave",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Fitchburg",
            "state": "MA",
            "postal_code": "014207111",
            "country_code": "US",
            "telephone_number": "978-345-1224",
            "fax_number": "978-345-1418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORMIER",
        "first_name": "JAMES",
        "middle_name": "MARTIN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "CH-1855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC MA",
            "identifier": "AA41500",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "791471",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "Y36330",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.