Active NPI
Holden Chiropractic, Inc.
- Chiropractor
- Holden, MA
National Provider Identifier
1083018733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 562
- Legal business name
- HOLDEN CHIROPRACTIC, INC.
- Practice address
- 686 Main St
Holden, MA 01520-1805 - Phone
- (508) 829-2219
- Fax
- (508) 829-2219
- NPI assigned
- Oct 9, 2014
- Last updated
- Jan 22, 2015
- 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
- Mrs. Maryellen Perry
- Title
- Secretary
- Phone
- (508) 829-2219
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 562 | MA | Primary |
Addresses
Primary practice location
686 Main St
Holden, MA 01520-1805
Mailing address
686 Main St
Holden, MA 01520
Phone (508) 829-2219
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110029700A | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
686 Main St
Holden, MA 01520
Phone (508) 829-2219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421884800000",
"number": "1083018733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "686 MAIN ST",
"city": "HOLDEN",
"state": "MA",
"postal_code": "01520",
"telephone_number": "508-829-2219",
"fax_number": "508-829-2219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "686 MAIN ST",
"city": "HOLDEN",
"state": "MA",
"postal_code": "015201805",
"telephone_number": "508-829-2219",
"fax_number": "508-829-2219"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLDEN CHIROPRACTIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-09",
"last_updated": "2015-01-22",
"status": "A",
"authorized_official_last_name": "PERRY",
"authorized_official_first_name": "MARYELLEN",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "508-829-2219",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "562",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110029700A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Holden, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.