Boston Wellness Health Care Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

385 Issued in MA

Legal business name

BOSTON WELLNESS HEALTH CARE CORPORATION

Practice address

1377 Dorchester Ave
Boston, MA 02122-2950

Phone

(617) 822-0900

Fax

(617) 822-0800

NPI assigned

Mar 17, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Stephen Sullivan, DC

Title

Chief Professional Officer

Phone

(617) 822-0900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1114388162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 DORCHESTER AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021222950",
            "telephone_number": "617-822-0900",
            "fax_number": "617-822-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1377 DORCHESTER AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021222950",
            "telephone_number": "617-822-0900",
            "fax_number": "617-822-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON WELLNESS HEALTH CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "CHIEF PROFESSIONAL OFFICER",
        "authorized_official_telephone_number": "617-822-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boston VA Health Care System
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• Boston Vamc
• Boston Vamc
• Boston Vamc
• Iman Jonee Boston, M.D.
• Boston'S Community Medical Group, Inc.
• Bostonia Tech Corp
• Alexander Paul Bostrom
• John A. Bostrom, M.D.

• Chiropractor in Boston, MA
• Providers in Boston, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.