Individual provider Active NPI

Warren L Pyne Jr., DC

  • Chiropractor
  • South Easton, MA
National Provider Identifier
1144380155
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1310 Issued in MA
Practice address
479 Turnpike St
South Easton, MA 02375
Phone
(508) 238-8521
Fax
(508) 238-8523
NPI assigned
Dec 11, 2006
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 1310 MA Primary

Addresses

Primary practice location

479 Turnpike St
South Easton, MA 02375

Mailing address

479 Turnpike St
Suite 3
South Easton, MA 02375
Phone (508) 238-8521

Other identifiers 4

IdentifierTypeStateIssuer
712236OtherMATUFTS
1612123MedicaidMA
35394OtherMAPILGGIM
Y39330OtherBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060501000264 MA Practitioner - Chiropractic 4789694100 Reassigns benefits to 1 organization
Practice locations: South Easton, MA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Southeast IncGroup PAC ID 5193069797, 2 clinicians

Practice addresses (Care Compare)

479 Turnpike St
Suite 3
South Easton, MA 02375-1796
Phone (508) 238-8521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Southeast Inc Chiropractor CurrentSince Oct 13, 2018 Accepting new patients

Locations

479 Turnpike St
Ste 3
South Easton, MA 02375
Phone (508) 238-8521

479 Turnpike St
South Easton, MA 02375
Phone (508) 238-5600

Organizations & group practices 1

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144380155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 TURNPIKE ST",
            "address_2": "SUITE 3",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "02375",
            "telephone_number": "508-238-8521",
            "fax_number": "508-238-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 TURNPIKE ST",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "02375",
            "telephone_number": "508-238-8521",
            "fax_number": "508-238-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYNE",
        "first_name": "WARREN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "712236",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1612123",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PILGGIM",
            "identifier": "35394",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "Y39330",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Easton, 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.