Organization Active NPI

Politis Family Chiropractic PC

  • Chiropractor
  • Pittsfield, MA
National Provider Identifier
1912988262
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
POLITIS FAMILY CHIROPRACTIC PC
Practice address
379 South St
Pittsfield, MA 01201-6803
Phone
(413) 443-6337
Fax
(413) 403-5100
NPI assigned
Nov 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Authorized official

Name
Patricia A Politis
Title
Office Manager
Phone
(413) 443-6337

Specialties & licenses 1

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

Addresses

Primary practice location

379 South St
Pittsfield, MA 01201-6803

Mailing address

379 South St
Pittsfield, MA 01201-6803
Phone (413) 443-6337

Other identifiers 2

IdentifierTypeStateIssuer
Y39801OtherMABLUE CROSS BLUE SHIELD
Y49201OtherMAMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050713001146 MA Part B Supplier - Clinic/Group Practice 9830125517 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsfield, MA

National Provider Directory

National Provider Directory

Locations

379 South St
Pittsfield, MA 01201
Phone (413) 441-7101

Practitioners & affiliated clinicians

Practitioners 2

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": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1912988262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016803",
            "telephone_number": "413-443-6337",
            "fax_number": "413-403-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016803",
            "telephone_number": "413-443-6337",
            "fax_number": "413-403-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLITIS FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "POLITIS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "413-443-6337"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y39801",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Y49201",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.