Active NPI
Gregory Theokas, DC
- Chiropractor
- Melrose, MA
National Provider Identifier
1740388974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2421
- Practice address
- 445 Franklin St
Melrose, MA 02176-1855 - Phone
- (781) 665-9800
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 2421 | MA | Primary |
Addresses
Primary practice location
445 Franklin St
Melrose, MA 02176-1855
Mailing address
240 Gibson St
Lowell, MA 01851-3016
Phone (978) 407-1093
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 |
|---|---|---|---|
| 2421 | MA | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740388974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 GIBSON ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018513016",
"telephone_number": "978-407-1093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 FRANKLIN ST",
"city": "MELROSE",
"state": "MA",
"postal_code": "021761855",
"telephone_number": "781-665-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEOKAS",
"first_name": "GREGORY",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "2421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melrose, 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.