Active NPI
Christopher Thomas Cordima
- Chiropractor
- Somerville, MA
National Provider Identifier
1962624304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1349
- Practice address
- 690 Broadway
Somerville, MA 02144-2220 - Phone
- (617) 629-2600
- Fax
- (617) 666-9302
- NPI assigned
- May 3, 2007
- 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 | 1349 | MA | Primary |
Addresses
Primary practice location
690 Broadway
Somerville, MA 02144-2220
Mailing address
690 Broadway
Somerville, MA 02144-2220
Phone (617) 629-2600
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699865 | Medicaid | MA | |
| 712331 | Other | MA | TUFTS |
| Y35921 | Other | MA | BCBS |
| 0115865 | Other | MA | CIGNA |
| 2864703 | Other | MA | AETNA |
| 351398 | Other | MA | HARVARD PILGRIM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
690 Broadway
Somerville, MA 02144-2220
Phone (617) 629-2600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1349 | MA | MD | Mental Health Counselor |
Organizations & group practices 1
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
- Somerville, MA
- NPI 1790907046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467244800000",
"number": "1962624304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 BROADWAY",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021442220",
"telephone_number": "617-629-2600",
"fax_number": "617-666-9302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 BROADWAY",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021442220",
"telephone_number": "617-629-2600",
"fax_number": "617-666-9302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDIMA",
"first_name": "CHRISTOPHER",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2016-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "1349",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1699865",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "712331",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y35921",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0115865",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2864703",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "351398",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.