Organization Active NPI

Sport and Spine Chiropractic PC

  • Sports Physician Chiropractor
  • Hingham, MA
National Provider Identifier
1164821963
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
3059 Issued in MA
Legal business name
SPORT AND SPINE CHIROPRACTIC PC
Practice address
185 Lincoln St
#110
Hingham, MA 02043-1743
Phone
(781) 741-5300
NPI assigned
Aug 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Authorized official

Name
Loren Rees, D.C.NPI 1679546840
Title
Director
Phone
(741) 741-5300

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
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 3059 MA
Sports Physician ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NS0005X 3059 MA Primary

Addresses

Primary practice location

185 Lincoln St
#110
Hingham, MA 02043-1743

Mailing address

19 Bay Ridge Rd
Scituate, MA 02066-3501
Phone (781) 741-5300

Other identifiers 1

IdentifierTypeStateIssuer
1679546840OtherMANPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150901001246 MA Part B Supplier - Clinic/Group Practice 1456667716 Receives reassigned benefits from 1 practitioner
Practice locations: Hingham, MA

National Provider Directory

National Provider Directory

Locations

185 Lincoln St
Ste 110
Hingham, MA 02043
Phone (781) 741-5300

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": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1164821963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BAY RIDGE RD",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020663501",
            "telephone_number": "781-741-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 LINCOLN ST",
            "address_2": "#110",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020431743",
            "telephone_number": "781-741-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORT AND SPINE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "REES",
        "authorized_official_first_name": "LOREN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "741-741-5300",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3059",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "MA",
            "license": "3059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1679546840",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.