NPIMap

Organization Active NPI

Videyko Chiropractic

  • Chiropractor
  • Newburyport, MA
National Provider Identifier
1972651370
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
647 Issued in MA
Legal business name
VIDEYKO CHIROPRACTIC
Practice address
128 State St
Newburyport, MA 01950-6629
Phone
(978) 465-1500
Fax
(978) 465-7501
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Videyko, DCNPI 1043212814
Title
Chiropractor - Owner
Phone
(978) 465-1500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 647 MA Primary

Addresses

Primary practice location

128 State St
Newburyport, MA 01950-6629

Mailing address

128 State St
Newburyport, MA 01950-6629
Phone (978) 465-1500

Other identifiers 5

IdentifierTypeStateIssuer
351205OtherMAHARVARD HEALTHCARE
515906OtherAETNA
711501OtherMATUFTS
67990OtherCIGNA
Y35447OtherMABLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

128 State St
Newburyport, MA 01950
Phone (978) 465-1500

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": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972651370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 STATE ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019506629",
            "telephone_number": "978-465-1500",
            "fax_number": "978-465-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 STATE ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019506629",
            "telephone_number": "978-465-1500",
            "fax_number": "978-465-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDEYKO CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VIDEYKO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIROPRACTOR - OWNER",
        "authorized_official_telephone_number": "978-465-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD HEALTHCARE",
            "identifier": "351205",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "515906",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "711501",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "67990",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y35447",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.