NPIMap

Organization Active NPI

Mark D. Friedman

  • Neurology Chiropractor
  • Swampscott, MA
National Provider Identifier
1134541493
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
1452 Issued in MA
Legal business name
MARK D. FRIEDMAN
Doing business as
Vinnin Square Chiropractic
Practice address
70 New Ocean St
Swampscott, MA 01907-1831
Phone
(781) 581-7300
NPI assigned
Jan 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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

Authorized official

Name
Dr. Mark D Friedman, D.C.NPI 1578521951
Title
Owner/Clinician
Phone
(781) 581-7300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN0400X 1452 MA Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X AH-11085 MA

Addresses

Primary practice location

70 New Ocean St
Swampscott, MA 01907-1831

Mailing address

70 New Ocean St
Swampscott, MA 01907-1831
Phone (781) 581-7300

Other identifiers 1

IdentifierTypeStateIssuer
110085322MedicaidMA

Other names 1

  • Vinnin Square Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

70 New Ocean St
Swampscott, MA 01907
Phone (781) 581-7300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388966400000",
    "number": "1134541493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 NEW OCEAN ST",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019071831",
            "telephone_number": "781-581-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 NEW OCEAN ST",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019071831",
            "telephone_number": "781-581-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK D. FRIEDMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-06",
        "last_updated": "2014-01-06",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "781-581-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "MA",
            "license": "1452",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "AH-11085",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110085322",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vinnin Square Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Swampscott, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.