Organization Active NPI

Holden Chiropractic, Inc.

  • Chiropractor
  • Holden, MA
National Provider Identifier
1083018733
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
562 Issued in MA
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
110029700AMedicaidMA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.