Organization Active NPI

Dr. Necole Larue Chiropractor Inc.

  • Chiropractor
  • North Attleboro, MA
National Provider Identifier
1053553271
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2159 Issued in MA
Legal business name
DR. NECOLE LARUE CHIROPRACTOR INC.
Practice address
500 E Washington St
Unit 14
North Attleboro, MA 02760-6301
Phone
(508) 643-7050
Fax
(505) 643-9619
NPI assigned
Apr 2, 2009
Last updated
Apr 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

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

Authorized official

Name
Dr. Necole Lillian Larue, D.C.NPI 1265514228
Title
Chiropractor
Phone
(508) 643-7050

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)CodeLicenseStatePrimary
Chiropractor 111N00000X 2159 MA Primary

Addresses

Primary practice location

500 E Washington St
Unit 14
North Attleboro, MA 02760-6301

Mailing address

500 E Washington St
Unit 14
North Attleboro, MA 02760-6301
Phone (508) 643-7050

Other identifiers 8

IdentifierTypeStateIssuer
29065OtherRIBLUE CROSS BLUE SHIELD RI
1610732MedicaidMA
4400505OtherMAUNITED HEALTH CARE
401416OtherRIBLUE CROSS BLUE SHIELD RI BL;UE CHIP
20585541OtherMAAETNA
Y36507OtherMABLUE CROSS BLUE SHIELD MA
351208OtherMAHARVARD PILGRIM HEALTH CARE
B20808501OtherMACIGNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090603000052 MA Part B Supplier - Clinic/Group Practice 7719037365 Receives reassigned benefits from 3 practitioners
Practice locations: Plainville, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1053553271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E WASHINGTON ST",
            "address_2": "UNIT 14",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027606301",
            "telephone_number": "508-643-7050",
            "fax_number": "505-643-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E WASHINGTON ST",
            "address_2": "UNIT 14",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027606301",
            "telephone_number": "508-643-7050",
            "fax_number": "505-643-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. NECOLE LARUE CHIROPRACTOR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "LARUE",
        "authorized_official_first_name": "NECOLE",
        "authorized_official_middle_name": "LILLIAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "508-643-7050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD RI",
            "identifier": "29065",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1610732",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "4400505",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD RI BL;UE CHIP",
            "identifier": "401416",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "20585541",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MA",
            "identifier": "Y36507",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CARE",
            "identifier": "351208",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "B20808501",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Attleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.