Active NPI
Bay State Chiropractic & Sports Injuries, Inc.
- Sports Physician Chiropractor
- Middleton, MA
National Provider Identifier
1043489313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 1905
- Legal business name
- BAY STATE CHIROPRACTIC & SPORTS INJURIES, INC.
- Practice address
- 69 S Main St
Middleton, MA 01949-2213 - Phone
- (978) 777-2737
- Fax
- (978) 777-5351
- NPI assigned
- Feb 21, 2008
- 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. Michael Joseph Dimauro, D.C.
- Title
- President/Owner
- Phone
- (978) 688-9122
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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 1905 | MA | Primary |
Addresses
Primary practice location
69 S Main St
Middleton, MA 01949-2213
Mailing address
283 S Broadway
Lawrence, MA 01843-2631
Phone (978) 688-9122
Other names 1
- DiMauro Family Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
283 S Broadway
Lawrence, MA 01843
Phone (978) 688-9122
69 S Main St
Middleton, MA 01949
Phone (978) 339-3643
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Physician Chiropractor
- Lawrence, MA
- NPI 1265653612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203552000000",
"number": "1043489313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "283 S BROADWAY",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018432631",
"telephone_number": "978-688-9122",
"fax_number": "978-688-9871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 S MAIN ST",
"city": "MIDDLETON",
"state": "MA",
"postal_code": "019492213",
"telephone_number": "978-777-2737",
"fax_number": "978-777-5351"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAY STATE CHIROPRACTIC & SPORTS INJURIES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-21",
"last_updated": "2008-02-21",
"status": "A",
"authorized_official_last_name": "DIMAURO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "978-688-9122",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": "MA",
"license": "1905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DiMauro Family Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Middleton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.