Individual provider Active NPI

Esther K. Asdourian, D.C.

  • Chiropractor
  • Burlington, MA
National Provider Identifier
1710102504
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2110 Issued in MA
Practice address
45 Terrace Hall Ave
Burlington, MA 01803-3512
Phone
(781) 750-8206
Fax
(781) 750-8206
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
Yes

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 2110 MA Primary

Addresses

Primary practice location

45 Terrace Hall Ave
Burlington, MA 01803-3512

Mailing address

45 Terrace Hall Ave
Burlington, MA 01803-3512
Phone (781) 750-8206

Other identifiers 3

IdentifierTypeStateIssuer
1613464MedicaidMA
2595429OtherMAAETNA
Y36513OtherMABCBS

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2110MAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710102504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 TERRACE HALL AVE",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018033512",
            "telephone_number": "781-750-8206",
            "fax_number": "781-750-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 TERRACE HALL AVE",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018033512",
            "telephone_number": "781-750-8206",
            "fax_number": "781-750-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASDOURIAN",
        "first_name": "ESTHER",
        "middle_name": "K.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1613464",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2595429",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y36513",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, 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.