DR. TODD LEWIS DERSHAM D.C.
NPI 1437454097
Chiropractor in Rochester, MA

Active since January 12, 2011
113 BRALEY HILL RD, ROCHESTER, MA 02770(607) 329-4036 Get Directions Write a Review

NPPES record last updated: January 12, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Todd Lewis Dersham D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TODD LEWIS DERSHAM D.C. (NPI 1437454097) is an individual chiropractor in Rochester, Massachusetts, licensed in Maine (CR1993) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1437454097
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. TODD LEWIS DERSHAMCredential: D.C.
Location Address113 BRALEY HILL RDRochester, MA 02770-1917
Mailing Address113 Braley Hill RdRochester, MA 02770-1917
Sole ProprietorNo
Enumeration DateJanuary 12, 2011
✔ NPI 1437454097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ME · CR1993
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
113 BRALEY HILL RD, Rochester, MA 02770

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Todd Lewis Dersham D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Todd Dersham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractor
657 PLEASANT ST, UNIT 9
Fall River, MA 02721
  • Reassigned Medicare billing, Massachusetts enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Todd Dersham's NPI number?

The NPI number for Todd Dersham is 1437454097. It was assigned to this individual provider in the NPPES registry on January 12, 2011.

Where is Todd Dersham located?

Todd Dersham practices at 113 Braley Hill Rd, Rochester, MA 02770. The listed phone number is (607) 329-4036.

What is Todd Dersham's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Todd Dersham enrolled in Medicare?

Yes. Todd Dersham is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Todd Dersham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Todd Dersham reassigns Medicare benefits to Healthsource Of Fall River Chiropractic And Progressive Wellness, PC (Fall River, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Todd Dersham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Todd Dersham was last updated on January 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.