David Miles Gladstone, D.C.

Individual provider Active NPI Chiropractor · Dorchester, MA

NPI 1043395577 · NPPES record last updated Jan 23, 2023

Key facts

NPI
1043395577
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
3613 (MA)
Practice address
1855 Dorchester Ave
Dorchester, MA 02124-2426
Phone
(617) 533-8902
Fax
(617) 533-7814
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
CH10173FLMDRehabilitation Chiropractor
3613MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Accident and Injury Group Chelsea, LLC Chiropractor Current Accepting new patients
Accident and Injury Group Brockton Chiropractor Current Accepting new patients
Big City Chiropractic & Sports Injury Chiropractor Current
since Apr 6, 2023
Accepting new patients
Accident and Injury Group Dorchester, LLC Chiropractor Current Accepting new patients
Atlas Chiropractic LLC Chiropractor Current
since Feb 6, 2022
Accepting new patients
Right Track Health Center PA Chiropractor Past Accepting new patients
Beantown Chiropractic Corp Chiropractor Past Accepting new patients
Mountain View Rehabilitation Center Inc. Chiropractor Past Accepting new patients

Locations

1855 Dorchester Ave
Dorchester, MA 02124
Phone (617) 533-8902

157 Essex St
Lawrence, MA 01840
Phone (978) 655-7972

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEBBDA

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3613 MA Yes
Rehabilitation Chiropractor 111NR0400X CH10173 FL

Addresses

Primary practice location

1855 Dorchester Ave
Dorchester, MA 02124-2426

Mailing address

1855 Dorchester Ave
Dorchester, MA 02124-2426
Phone (617) 533-8902

Other providers in Dorchester, MA

All providers in Dorchester, MA · Chiropractor in Massachusetts

Sources for this page

Verify at the official NPI Registry.