Organization Active NPI

Degre Chiropractic LLC

  • Chiropractor
  • Medford, MA
National Provider Identifier
1073934204
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2547 Issued in MA
Legal business name
DEGRE CHIROPRACTIC LLC
Practice address
92 High St Ste DH32
Medford, MA 02155-3843
Phone
(781) 391-1072
NPI assigned
Dec 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Authorized official

Name
Mr. Pierre L Laurent
Title
Owner
Phone
(781) 391-1072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2547 MA Primary

Addresses

Primary practice location

92 High St Ste DH32
Medford, MA 02155-3843

Mailing address

92 High St Ste DH32
Medford, MA 02155-3843
Phone (781) 391-1072

National Provider Directory

National Provider Directory

Locations

92 High St
Ste DH32
Medford, MA 02155
Phone (781) 391-1072

NPI Registry JSON

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1073934204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 HIGH ST STE DH32",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553843",
            "telephone_number": "781-391-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 HIGH ST STE DH32",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553843",
            "telephone_number": "781-391-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEGRE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "LAURENT",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-391-1072",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.