Individual provider Active NPI

Erin L. Cheslock, DC

  • Chiropractor
  • Brockton, MA
National Provider Identifier
1700916459
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1904 Issued in MA
Practice address
47 W Elm St
Suite 208
Brockton, MA 02301-4332
Phone
(508) 580-2225
Fax
(508) 580-8898
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1904 MA Primary

Addresses

Primary practice location

47 W Elm St
Suite 208
Brockton, MA 02301-4332

Mailing address

211 Country Way
Scituate, MA 02066-3718
Phone (508) 580-2225

Other identifiers 2

IdentifierTypeStateIssuer
12912OtherMAHPHC NUMBER
Y36452OtherMABCBS INDEMNITY NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1904MAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brockton Metro Chiropractic, P.C. Chiropractor Past Accepting new patients

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700916459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 COUNTRY WAY",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020663718",
            "telephone_number": "508-580-2225",
            "fax_number": "508-580-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 W ELM ST",
            "address_2": "SUITE 208",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014332",
            "telephone_number": "508-580-2225",
            "fax_number": "508-580-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESLOCK",
        "first_name": "ERIN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC NUMBER",
            "identifier": "12912",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDEMNITY NUMBER",
            "identifier": "Y36452",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.