Organization Active NPI

Kopelman Family Chiropractic Inc

  • Chiropractor
  • Acton, MA
National Provider Identifier
1003000209
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2660 Issued in MA
Legal business name
KOPELMAN FAMILY CHIROPRACTIC INC
Practice address
411 Mass Ave
Suite 102
Acton, MA 01720-3739
Phone
(978) 263-0008
Fax
(978) 264-4462
NPI assigned
Aug 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Authorized official

Name
Dr. Daniel L Kopelman, DCNPI 1265564736
Title
President
Phone
(617) 388-6462

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2660 MA Primary

Addresses

Primary practice location

411 Mass Ave
Suite 102
Acton, MA 01720-3739

Mailing address

411 Mass Ave
Suite 102
Acton, MA 01720-3739
Phone (978) 263-0008

Other identifiers 1

IdentifierTypeStateIssuer
Y39959OtherMABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040812000948 MA Part B Supplier - Clinic/Group Practice 8224000898 Receives reassigned benefits from 1 practitioner
Practice locations: Acton, MA

National Provider Directory

National Provider Directory

Locations

411 Massachusetts Ave
Ste 102
Acton, MA 01720
Phone (978) 263-0008

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1003000209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MASS AVE",
            "address_2": "SUITE 102",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203739",
            "telephone_number": "978-263-0008",
            "fax_number": "978-264-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MASS AVE",
            "address_2": "SUITE 102",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203739",
            "telephone_number": "978-263-0008",
            "fax_number": "978-264-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOPELMAN FAMILY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "KOPELMAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-388-6462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y39959",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Acton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.