Organization Active NPI

Chawla Chiropractic PLLC

  • Chiropractor
  • Danvers, MA
National Provider Identifier
1861130387
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHAWLA CHIROPRACTIC PLLC
Practice address
435 Newbury St Ste 208
Danvers, MA 01923-1065
Phone
(617) 334-5002
Fax
(949) 577-4658
NPI assigned
May 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Authorized official

Name
Dr. Sudeep Chawla, DCNPI 1689926214
Title
Chiropractor
Phone
(617) 334-5002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

435 Newbury St Ste 208
Danvers, MA 01923-1065

Mailing address

125 Palomino Dr
North Andover, MA 01845-3379
Phone (617) 334-5002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220811000134 MA Part B Supplier - Clinic/Group Practice 3678956455 Receives reassigned benefits from 1 practitioner
Practice locations: Danvers, MA

National Provider Directory

National Provider Directory

Locations

435 Newbury St
Ste 208
Danvers, MA 01923
Phone (617) 334-5002

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": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1861130387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PALOMINO DR",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018453379",
            "telephone_number": "617-334-5002",
            "fax_number": "949-577-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 NEWBURY ST STE 208",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231065",
            "telephone_number": "617-334-5002",
            "fax_number": "949-577-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAWLA CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "CHAWLA",
        "authorized_official_first_name": "SUDEEP",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "617-334-5002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.