Organization Active NPI

Spa Chiropractic of Salem, LLC

  • Rehabilitation Chiropractor
  • Salem, MA
National Provider Identifier
1073957221
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
SPA CHIROPRACTIC OF SALEM, LLC
Practice address
265 Essex St
Suite 202
Salem, MA 01970-3419
Phone
(617) 953-1036
NPI assigned
Apr 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Authorized official

Name
Dr. Robert Brett Sherry, D.C.
Title
Manager
Phone
(978) 498-4195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X Primary

Addresses

Primary practice location

265 Essex St
Suite 202
Salem, MA 01970-3419

Mailing address

265 Essex St
Suite 202
Salem, MA 01970-3419
Phone (978) 498-4195

National Provider Directory

National Provider Directory

Locations

265 Essex St
Ste 202
Salem, MA 01970
Phone (617) 953-1036

NPI Registry JSON

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1073957221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 ESSEX ST",
            "address_2": "SUITE 202",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703419",
            "telephone_number": "978-498-4195",
            "fax_number": "978-594-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 ESSEX ST",
            "address_2": "SUITE 202",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703419",
            "telephone_number": "617-953-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPA CHIROPRACTIC OF SALEM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-18",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "SHERRY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRETT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "978-498-4195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.