Chiropractic Business Associates Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHIROPRACTIC BUSINESS ASSOCIATES INC.

Doing business as

Leicester Spine & Wellness

Practice address

1103 Main St
Leicester, MA 01524-1393

Phone

(508) 892-8150

NPI assigned

Oct 11, 2023

Last updated

Oct 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter J Antanavica, DCNPI 1427102219

Title

Manager

Phone

(508) 892-8150

Specialties & licenses 2

Addresses

Other names 1

• Leicester Spine & Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter Joseph Antanavica, D.C.

  • Chiropractor
  • Leicester, MA
  • NPI 1427102219
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1932980315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 MAIN ST",
            "city": "LEICESTER",
            "state": "MA",
            "postal_code": "015241393",
            "telephone_number": "508-892-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 MAIN ST",
            "city": "LEICESTER",
            "state": "MA",
            "postal_code": "015241393",
            "telephone_number": "508-892-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC BUSINESS ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "ANTANAVICA",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "508-892-8150",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leicester Spine & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jeanne Elizabeth Chaclas, CSCD, CCC-SLP
• Comprehensive Physical Therapy, PC
• Constellations Psychological Services LLC
• Linda Cook, LMHC
• Cornerstone Caregiving East LLC
• Catherine Marie Correia, ATC, LAT

• Chiropractor in Leicester, MA
• Providers in Leicester, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.