Organization Active NPI

Chodowychi Recreation, Inc.

  • Registered Dietitian
  • Westford, MA
National Provider Identifier
1912304320
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
CHODOWYCHI RECREATION, INC.
Practice address
4 Littleton Rd
Westford, MA 01886-3111
Phone
(978) 692-7597
NPI assigned
Dec 1, 2014
Last updated
Dec 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Authorized official

Name
Michael Shyjan
Title
Owner
Phone
(978) 692-7597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU Primary

Addresses

Primary practice location

4 Littleton Rd
Westford, MA 01886-3111

Mailing address

4 Littleton Rd
Westford, MA 01886-3111

National Provider Directory

National Provider Directory

Locations

4 Littleton Rd
Westford, MA 01886
Phone (978) 692-7597

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1912304320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LITTLETON RD",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LITTLETON RD",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863111",
            "telephone_number": "978-692-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHODOWYCHI RECREATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "SHYJAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-692-7597"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.