Individual provider Active NPI

Zachary Ellis, DC

  • Neurology Chiropractor
  • Needham, MA
National Provider Identifier
1760287122
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
CR3078 Issued in ME
Practice address
464 Hillside Ave Ste 211
Needham, MA 02494-1228
Phone
(978) 429-8952
NPI assigned
Feb 18, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X CR3078 ME Primary

Addresses

Primary practice location

464 Hillside Ave Ste 211
Needham, MA 02494-1228

Mailing address

464 Hillside Ave
Suite 211
Deedham, MA 02790
Phone (978) 429-8952

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

LicenseStateTypeSpecialty
CR3078MEMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Portland Chiropractic Neurology, LLC Neurology CurrentSince Feb 23, 2025 Accepting new patients
Think Tank Hyperbarics CurrentSince Jul 13, 2025 Accepting new patients
Greater Boston Performance Care, Inc. PastSince Jun 30, 2024 Accepting new patients

Locations

959 Congress St
#1
Portland, ME 04102
Phone (207) 699-5600

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1760287122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 HILLSIDE AVE",
            "address_2": "SUITE 211",
            "city": "DEEDHAM",
            "state": "MA",
            "postal_code": "02790",
            "telephone_number": "978-429-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 HILLSIDE AVE STE 211",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024941228",
            "telephone_number": "978-429-8952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "ZACHARY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-18",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "ME",
            "license": "CR3078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.