Active NPI
Kevin Joseph Loughlin, D.C.
- Chiropractor
- Boston, MA
National Provider Identifier
1083733539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 856
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 716209 | Other | MA | TUFTS |
| Y35614 | Other | MA | BLUE CROSS & BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 856 | MA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Physician Services LLC | Chiropractor | Current | 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.
-
- Physical Medicine & Rehabilitation Physician
- Springfield, MA
- NPI 1922096049
Chiropractor
-
- Chiropractor
- Boston, MA
- NPI 1093841355
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.