Individual provider Active NPI

Jeanine Elizabeth, D.C.

  • Chiropractor
  • Danvers, MA
National Provider Identifier
1841462330
Registry record updated Jun 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2457 Issued in MA
Practice address
172 Maple St
Danvers, MA 01923-2137
Phone
(978) 777-2322
Fax
(978) 774-0724
NPI assigned
Mar 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2457 MA Primary

Addresses

Primary practice location

172 Maple St
Danvers, MA 01923-2137

Mailing address

172 Maple St
Danvers, MA 01923-2137
Phone (978) 880-3552

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2457MAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tgettis Family Chiropractic PastSince Jan 17, 2009 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498780800000",
    "number": "1841462330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 MAPLE ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232137",
            "telephone_number": "978-880-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 MAPLE ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232137",
            "telephone_number": "978-777-2322",
            "fax_number": "978-774-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIZABETH",
        "first_name": "JEANINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-25",
        "last_updated": "2017-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; 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.