Organization Active NPI

Pallis Chiropractic Center PC

  • Chiropractor
  • Norwood, MA
National Provider Identifier
1902011646
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2905 Issued in MA
Legal business name
PALLIS CHIROPRACTIC CENTER PC
Practice address
521 Walpole St
Norwood, MA 02062-1736
Phone
(781) 255-7080
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Authorized official

Name
Dr. Matthew Michaud, D.C.NPI 1609932953
Title
Chiropractor
Phone
(781) 255-7080

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 2905 MA Primary

Addresses

Primary practice location

521 Walpole St
Norwood, MA 02062-1736

Mailing address

521 Walpole St
Norwood, MA 02062-1736
Phone (781) 255-7080

Other identifiers 1

IdentifierTypeStateIssuer
Y37086OtherMABCBS OF MA

National Provider Directory

National Provider Directory

Locations

521 Walpole St
Norwood, MA 02062
Phone (781) 255-7080

Practitioners & affiliated clinicians

Practitioners 4

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": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1902011646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 WALPOLE ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020621736",
            "telephone_number": "781-255-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 WALPOLE ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020621736",
            "telephone_number": "781-255-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALLIS CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "MICHAUD",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "781-255-7080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA",
            "identifier": "Y37086",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.