Peabody Family Chiropractic, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PEABODY FAMILY CHIROPRACTIC, INC.

Practice address

49 Central St
Peabody, MA 01960-4375

Phone

(978) 531-0202

Fax

(978) 532-7076

NPI assigned

Oct 5, 2007

Last updated

Jun 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Tiana CelesiaNPI 1962526186

Title

Coo

Phone

(617) 905-2219

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: dr.tim@pfc0019.direct.chirotouch.md

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy E O'Leary, D.C.

  • Chiropractor
  • Peabody, MA
  • NPI 1629098272
  Medicare reassignment NPD
• Tiana Celesia, RD

  • Registered Dietitian
  • Boston, MA
  • NPI 1962526186
  Authorized official Same address or phone
• Dermot Connole Jinks, D.C.

  • Single Specialty Group
  • Peabody, MA
  • NPI 1528161817
  NPD (past)

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1710175518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 CENTRAL ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019604375",
            "telephone_number": "978-531-0202",
            "fax_number": "978-532-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 CENTRAL ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019604375",
            "telephone_number": "978-531-0202",
            "fax_number": "978-532-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEABODY FAMILY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "CELESIA",
        "authorized_official_first_name": "TIANA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "617-905-2219",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "Y40128",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Ann Pawl, MSPT
• Peabody Dental Group, LLC
• Peabody Dental LLC (Contemporary Dentistry and Implantology)
• Peabody Dental Spa, PLLC (Peabody Smile Design)
• Peabody Dental Specialties PLLC
• Peabody Family Dental PLLC
• Peabody Management Systems Inc (Pilgrim Rehabilitation & Skilled Nursing Center)
• Peabody OBGYN, LLC
• Peabody Podiatry LLC
• Peabody Podiatry LLC

• Clinic/Center in Peabody, MA
• Providers in Peabody, MA by specialty
• Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.