Organization Active NPI

Khalsa Chiropractic Back Bay, Inc

  • Chiropractor
  • Boston, MA
National Provider Identifier
1003354978
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KHALSA CHIROPRACTIC BACK BAY, INC
Practice address
376 Boylston St
301
Boston, MA 02116
Phone
(857) 250-2939
Fax
(857) 250-2938
NPI assigned
Feb 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Authorized official

Name
Dr. Sara Morrissey Posner, DC
Title
Owner
Phone
(617) 620-8680

Specialties & licenses 1

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

Addresses

Primary practice location

376 Boylston St
301
Boston, MA 02116

Mailing address

376 Boylston St
301
Boston, MA 02116-3812
Phone (857) 250-2939

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190116002641 MA Part B Supplier - Clinic/Group Practice 3173869807 Receives reassigned benefits from 4 practitioners
Practice locations: Boston, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1486684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1003354978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 BOYLSTON ST",
            "address_2": "301",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163812",
            "telephone_number": "857-250-2939",
            "fax_number": "857-250-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 BOYLSTON ST",
            "address_2": "301",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02116",
            "telephone_number": "857-250-2939",
            "fax_number": "857-250-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHALSA CHIROPRACTIC BACK BAY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-10",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "POSNER",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "MORRISSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-620-8680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.