Aerie Chiropractic LTD PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

712 Issued in MA

Legal business name

AERIE CHIROPRACTIC LTD PC

Practice address

433 Teaticket Hwy
Teaticket, MA 02536-6545

Phone

(508) 548-7722

Fax

(508) 548-7722

NPI assigned

Feb 7, 2007

Organization subpart

No

Name

Dr. Lisa Ann Esperson, DCNPI 1760517643

Title

President

Phone

(508) 548-7722

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

• Lisa Ann Esperson, DC

  • Chiropractor
  • Teaticket, MA
  • NPI 1760517643
  NPD (past) Authorized official
• Mark A Abbott, MSW, LICSW

  • Clinical Social Worker
  • East Falmouth, MA
  • NPI 1134461445
  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689714180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 TEATICKET HWY",
            "city": "TEATICKET",
            "state": "MA",
            "postal_code": "025366545",
            "telephone_number": "508-548-7722",
            "fax_number": "508-548-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 TEATICKET HWY",
            "city": "TEATICKET",
            "state": "MA",
            "postal_code": "025366545",
            "telephone_number": "508-548-7722",
            "fax_number": "508-548-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AERIE CHIROPRACTIC LTD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ESPERSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-548-7722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "35935",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MASS",
            "identifier": "AEY39047",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Azizian, M.D.
• Lynn Ball
• Manuel J Botelho Jr., LADC II #17920
• Paulafaith Brown
• Melanie Brunstrom

• All providers in Teaticket, MA
• Chiropractor in Massachusetts

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.