Individual provider Active NPI

David Gelineau, D.C.

  • Chiropractor
  • Dracut, MA
National Provider Identifier
1740369859
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2856 Issued in MA
Practice address
1533 Lakeview Ave
Suite 2
Dracut, MA 01826-3324
Phone
(978) 453-2792
NPI assigned
Nov 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
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 2856 MA Primary

Addresses

Primary practice location

1533 Lakeview Ave
Suite 2
Dracut, MA 01826-3324

Mailing address

1533 Lakeview Ave
Suite 2
Dracut, MA 01826-3324
Phone (978) 453-2792

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031223000600 MA Practitioner - Chiropractic 4587562871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1533 Lakeview Ave
Dracut, MA 01826-3324
Phone (978) 453-2792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2856MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dracut Chiropractic Center, P.C. Chiropractor CurrentSince Nov 13, 2003 Accepting new patients

Locations

1408 Bridge St
Dracut, MA 01826
Phone (978) 453-0800

1533 Lakeview Ave
Ste 2
Dracut, MA 01826
Phone (978) 453-2792

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740369859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 LAKEVIEW AVE",
            "address_2": "SUITE 2",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018263324",
            "telephone_number": "978-453-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 LAKEVIEW AVE",
            "address_2": "SUITE 2",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018263324",
            "telephone_number": "978-453-2792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELINEAU",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dracut, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.