Organization Active NPI

Salem Chiropractic Center, LLC

  • Chiropractor
  • Salem, MA
National Provider Identifier
1700105558
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SALEM CHIROPRACTIC CENTER, LLC
Practice address
310 Lafayette Street
Salem, MA 01970-5442
Phone
(978) 744-1123
Fax
(978) 744-9683
NPI assigned
May 19, 2010
Organization subpart
Yes
Parent organization
SALEM CHIROPRACTIC CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Authorized official

Name
Dr. Troy D Wilson, D.C.NPI 1255401006
Title
Owner
Phone
(978) 744-1123

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 Primary

Addresses

Primary practice location

310 Lafayette Street
Salem, MA 01970-5442

Mailing address

310 Lafayette Street
Salem, MA 01970-5442
Phone (978) 744-1123

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110606000719 MA Part B Supplier - Clinic/Group Practice 4981881679 Receives reassigned benefits from 1 practitioner
Practice locations: Salem, MA

National Provider Directory

National Provider Directory
Part of
Salem Chiropractic Center LLC

Locations

111 Canal St
Ste A
Salem, MA 01970
Phone (978) 744-1123

Practitioners & affiliated clinicians

Practitioners 4

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": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1700105558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 LAFAYETTE STREET",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019705442",
            "telephone_number": "978-744-1123",
            "fax_number": "978-744-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 LAFAYETTE STREET",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019705442",
            "telephone_number": "978-744-1123",
            "fax_number": "978-744-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SALEM CHIROPRACTIC CENTER, LLC",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-744-1123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.