Active NPI
Erin L. Cheslock, DC
- Chiropractor
- Brockton, MA
National Provider Identifier
1700916459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1904
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12912 | Other | MA | HPHC NUMBER |
| Y36452 | Other | MA | BCBS 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1904 | MA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Chiropractor
- Brockton, MA
- NPI 1881896686
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.