Active NPI
Kopelman Family Chiropractic Inc
- Chiropractor
- Acton, MA
National Provider Identifier
1003000209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2660
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel L Kopelman, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y39959 | Other | MA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Acton, MA
- NPI 1265564736
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.