Active NPI
Keith M Puri, D.C.
- Chiropractor
- Worcester, MA
National Provider Identifier
1962468439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2830
- Practice address
- 403 Belmont St
Worcester, MA 01604-1019 - Phone
- (508) 425-2600
- NPI assigned
- Apr 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2830 | MA | Primary |
Addresses
Primary practice location
403 Belmont St
Worcester, MA 01604-1019
Mailing address
406 Massachusetts Ave
Arlington, MA 02474-6700
Phone (781) 488-3388
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y36964 | Other | MA | BLUECROSS/BLUESHIELD |
| AA47417 | Other | MA | HARVARD PILGRIM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chirocare Associates, PC | Chiropractor | Current | Accepting new patients |
| Highland Chiropractic Family Care, Inc | Chiropractor | Past | Accepting new patients |
| Wellspace Associates | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Wilmington, MA
- NPI 1235380460
-
- Chiropractor
- Worcester, MA
- NPI 1861518938
-
- Physical Therapist
- Cambridge, MA
- NPI 1346291317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696464000000",
"number": "1962468439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 MASSACHUSETTS AVE",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024746700",
"telephone_number": "781-488-3388",
"fax_number": "781-488-3363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 BELMONT ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016041019",
"telephone_number": "508-425-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURI",
"first_name": "KEITH",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "2830",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS/BLUESHIELD",
"identifier": "Y36964",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA47417",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.