NPIMap

Organization Active NPI

Webster Lake Chiropractic

  • Chiropractor
  • Webster, MA
National Provider Identifier
1053576785
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
673 Issued in MA
Legal business name
WEBSTER LAKE CHIROPRACTIC
Practice address
325 Thompson Rd
Webster, MA 01570-1504
Phone
(508) 949-6900
Fax
(508) 949-2000
NPI assigned
Jul 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
James A Kerner, DC
Title
Member
Phone
(508) 949-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 673 MA Primary

Addresses

Primary practice location

325 Thompson Rd
Webster, MA 01570-1504

Mailing address

325 Thompson Rd
Webster, MA 01570-1504
Phone (508) 949-6900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1053576785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 THOMPSON RD",
            "city": "WEBSTER",
            "state": "MA",
            "postal_code": "015701504",
            "telephone_number": "508-949-6900",
            "fax_number": "508-949-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 THOMPSON RD",
            "city": "WEBSTER",
            "state": "MA",
            "postal_code": "015701504",
            "telephone_number": "508-949-6900",
            "fax_number": "508-949-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBSTER LAKE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "KERNER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "508-949-6900",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.