Individual provider Active NPI

David Miles Gladstone, D.C.

  • Chiropractor
  • Dorchester, MA
National Provider Identifier
1043395577
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3613 Issued in MA
Practice address
1855 Dorchester Ave
Dorchester, MA 02124-2426
Phone
(617) 533-8902
Fax
(617) 533-7814
NPI assigned
Oct 25, 2006
Last updated
Jan 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3613 MA Primary
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

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH10173FLMDRehabilitation Chiropractor
3613MAMDRegistered Dietitian

Practice roles

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1043395577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 DORCHESTER AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021242426",
            "telephone_number": "617-533-8902",
            "fax_number": "617-533-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 DORCHESTER AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021242426",
            "telephone_number": "617-533-8902",
            "fax_number": "617-533-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADSTONE",
        "first_name": "DAVID",
        "middle_name": "MILES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3613",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH10173",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.