James Ellis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3447 Issued in MA

Practice address

8 Cedar St Ste 61
Woburn, MA 01801-6362

Phone

(781) 460-0939

Fax

(781) 305-3124

NPI assigned

Jan 25, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Performance Through Function PLLCGroup PAC ID 3375913734, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Performance Through Function PLLC

  • Chiropractor
  • Woburn, MA
  • NPI 1033865142
  Medicare reassignment Care Compare group NPD Authorized official
• Evolved Health Chiropractic & Sports Medicine PLLC

  dba Evolved Health Chiropractic & Sports Medicine

  • Chiropractor
  • Woburn, MA
  • NPI 1063984045
  NPD Authorized official
• SBR Sports Chiropractic, LLC

  • Chiropractor
  • Medford, MA
  • NPI 1710255534
  NPD (past)

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

{
    "created_epoch": "1390608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1992128037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CEDAR ST STE 61",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016362",
            "telephone_number": "781-460-0939",
            "fax_number": "781-305-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CEDAR ST STE 61",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016362",
            "telephone_number": "781-460-0939",
            "fax_number": "781-305-3124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 Village Sq",
            "address_purpose": "LOCATION",
            "city": "Chelmsford",
            "state": "MA",
            "postal_code": "018242712",
            "country_code": "US",
            "telephone_number": "978-505-7813",
            "fax_number": "978-856-7729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-25",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.

Verify at the official NPI Registry.