Active NPI
Degre Chiropractic LLC
- Chiropractor
- Medford, MA
National Provider Identifier
1073934204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2547
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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 DirectoryLocations
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.