Organization Active NPI

Levesque Chiropractic, P.C.

  • Chiropractor
  • Springfield, MA
National Provider Identifier
1780055715
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
590 Issued in MA
Legal business name
LEVESQUE CHIROPRACTIC, P.C.
Practice address
916 Belmont Ave
Springfield, MA 01108-2447
Phone
(413) 737-9000
Fax
(413) 788-9229
NPI assigned
Oct 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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

Authorized official

Name
Mr. Andrew J. Porcello
Title
Business Manager
Phone
(413) 737-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 590 MA Primary

Addresses

Primary practice location

916 Belmont Ave
Springfield, MA 01108-2447

Mailing address

916 Belmont Ave
Springfield, MA 01108-2447
Phone (413) 737-9000

Other identifiers 1

IdentifierTypeStateIssuer
110029790AMedicaidMA

National Provider Directory

National Provider Directory

Locations

916 Belmont Ave
Springfield, MA 01108
Phone (413) 737-9000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1780055715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 BELMONT AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011082447",
            "telephone_number": "413-737-9000",
            "fax_number": "413-788-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 BELMONT AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011082447",
            "telephone_number": "413-737-9000",
            "fax_number": "413-788-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVESQUE CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "PORCELLO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "413-737-9000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110029790A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.