Healthsource of Fall River Chiropractic and Progressive Wellness, PC
NPI 1336577162ActiveOrganization· Chiropractor· Fall River, MA
Chiropractor in Fall River, Massachusetts, registered in NPPES in October 2013. The authorized official on file is Todd Lewis Dersham, D.C., Owner/President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1336577162 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 14, 2013 |
| Last updated in NPPES | Feb 25, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 3339 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MA) |
|---|
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