DAVIS SQUARE CHIROPRACTIC, PC
NPI 1710251632
Chiropractor in Somerville, MA

Active since February 24, 2012
49 HOLLAND ST, SOMERVILLE, MA 02144(617) 625-8707(617) 666-1763 Get Directions Write a Review

NPPES record last updated: February 24, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Davis Square Chiropractic, Pc NPPES

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

DAVIS SQUARE CHIROPRACTIC, PC (NPI 1710251632) is a healthcare organization registered as a chiropractor in Somerville, Massachusetts and active in the NPI registry since February 2012. The organization lists David Gregory Shadrick, President, as its authorized official.

NPPES Registry Identity

NPI1710251632
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameDAVIS SQUARE CHIROPRACTIC, PC
Location Address49 HOLLAND STSomerville, MA 02144-2731
Mailing Address49 Holland StSomerville, MA 02144-2731 · (617) 625-8707 · Fax (617) 666-1763
Fax(617) 666-1763
Organization SubpartNo
Authorized OfficialDavid Gregory ShadrickPresident · (617) 625-8707
Enumeration DateFebruary 24, 2012
✔ NPI 1710251632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MA · 3169
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.
49 HOLLAND ST, Somerville, MA 02144

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Davis Square Chiropractic, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMassachusettsEnrollment IDO20120430000065Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Davis Square Chiropractic, PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Chiropractic
NPI 1922281567
49 HOLLAND ST
Somerville, MA 02144
(617) 625-8707
✔ Accepts MedicareSame address
Chiropractic
NPI 1033822283
71 HOLLAND ST
Somerville, MA 02144
(617) 625-8707
✔ Accepts MedicareSame address
Chiropractic
NPI 1629596549
71 HOLLAND ST
Somerville, MA 02144
(617) 625-8707
✔ Accepts MedicareSame address
Chiropractic
NPI 1932606456
244 BEDFORD ST
Lexington, MA 02420
(781) 274-6462
✔ Accepts Medicare7.4 mi
Chiropractic
NPI 1063196731
253 ARLINGTON ST
Acton, MA 01720
(978) 263-9355
✔ Accepts Medicare19 mi
Chiropractic
NPI 1083910244
31 EAST ST
Sharon, MA 02067
(508) 455-7208
✔ Accepts Medicare20 mi
Chiropractic
NPI 1053702696
640 PLAZA DR STE 250
Highlands Ranch, CO 80129
(303) 948-9998
1,771 mi

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 Davis Square Chiropractic, PC's NPI number?

The NPI number for Davis Square Chiropractic, PC is 1710251632. It was assigned to this organization in the NPPES registry on February 24, 2012.

Where is Davis Square Chiropractic, PC located?

Davis Square Chiropractic, PC is located at 49 Holland St, Somerville, MA 02144. The listed phone number is (617) 625-8707.

What is Davis Square Chiropractic, PC's specialty?

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

Is Davis Square Chiropractic, PC enrolled in Medicare?

Yes. Davis Square Chiropractic, PC is registered in the Medicare PECOS enrollment system.

When is Davis Square Chiropractic, PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Massachusetts, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Davis Square Chiropractic, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Chiropractic, reassign their Medicare billing to Davis Square Chiropractic, PC. A 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 the clinician's services. Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Davis Square Chiropractic, PC was last updated on February 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.