Active NPI
George Palaiologos, DC
- Chiropractor
- Lakeville, MA
National Provider Identifier
1992802615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2595
- Practice address
- 66 Main Street
Lakeville, MA 02347 - Phone
- (508) 947-0747
- Fax
- (508) 947-0747
- NPI assigned
- Sep 17, 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 | 2595 | MA | Primary |
Addresses
Primary practice location
66 Main Street
Lakeville, MA 02347
Mailing address
66 Main Street
Lakeville, MA 02347
Phone (508) 947-0747
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 454956 | Other | TUFTS GROUP | |
| 648351 | Other | UNITED HEALTH | |
| Y39554 | Other | BCBS GROUP | |
| 2594584 | Other | AETNA | |
| 469515 | Other | TUFTS INDV | |
| 1697013 | Medicaid | MA | |
| 351376 | Other | MA | HARVARD PILGRIM |
| B21202501 | Other | CIGNA | |
| Y36808 | Other | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041105000540 | MA | Practitioner - Chiropractic | 5496718991 | Practice locations: Lakeville, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
66 Main St
Lakeville, MA 02347-1608
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2595 | MA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992802615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 MAIN STREET",
"city": "LAKEVILLE",
"state": "MA",
"postal_code": "02347",
"telephone_number": "508-947-0747",
"fax_number": "508-947-0747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 MAIN STREET",
"city": "LAKEVILLE",
"state": "MA",
"postal_code": "02347",
"telephone_number": "508-947-0747",
"fax_number": "508-947-0747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALAIOLOGOS",
"first_name": "GEORGE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "2595",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS GROUP",
"identifier": "454956",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH",
"identifier": "648351",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "Y39554",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2594584",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS INDV",
"identifier": "469515",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1697013",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "351376",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "B21202501",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y36808",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakeville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.