Individual provider Active NPI

Kevin Joseph Loughlin, D.C.

  • Chiropractor
  • Boston, MA
National Provider Identifier
1083733539
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
856 Issued in MA
Practice address
414 Commercial St
Suite 1a
Boston, MA 02109-1067
Phone
(617) 742-5797
Fax
(617) 742-8250
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 856 MA Primary

Addresses

Primary practice location

414 Commercial St
Suite 1a
Boston, MA 02109-1067

Mailing address

414 Commercial St
Suite 1a
Boston, MA 02109-1067
Phone (617) 742-5797

Other identifiers 2

IdentifierTypeStateIssuer
716209OtherMATUFTS
Y35614OtherMABLUE CROSS & BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060406000537 MA Practitioner - Chiropractic 5092724864 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
856MAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Physician Services LLC Chiropractor CurrentSince Feb 10, 2026 Accepting new patients
North End Chiropractic LLC Chiropractor Past Accepting new patients

Locations

95 Frank B Murray St
Springfield, MA 01103
Phone (413) 285-8586

554 Main St
Worcester, MA 01608
Phone (413) 301-6019

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083733539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 COMMERCIAL ST",
            "address_2": "SUITE 1A",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021091067",
            "telephone_number": "617-742-5797",
            "fax_number": "617-742-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 COMMERCIAL ST",
            "address_2": "SUITE 1A",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021091067",
            "telephone_number": "617-742-5797",
            "fax_number": "617-742-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUGHLIN",
        "first_name": "KEVIN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "716209",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "Y35614",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.