Buzzards Bay Chiropractic, P.C.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

MA1748 Issued in MA

Legal business name

BUZZARDS BAY CHIROPRACTIC, P.C.

Practice address

196 Main Street
Buzzards Bay, MA 02563

Phone

(508) 759-8852

Fax

(508) 759-0192

NPI assigned

Oct 23, 2008

Last updated

Jan 29, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David C Fisher, D.C.NPI 1932175064

Title

Owner/Physician

Phone

(508) 759-8852

Specialties & licenses 2

Addresses

Other identifiers 9

Other names 1

• Buzzards Bay Chiropractic Former legal business name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David C Fisher, D.C.

  • Orthopedic Chiropractor
  • Buzzards Bay, MA
  • NPI 1932175064
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233187200000",
    "number": "1174776058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 MAIN STREET",
            "city": "BUZZARDS BAY",
            "state": "MA",
            "postal_code": "02532",
            "telephone_number": "508-759-8852",
            "fax_number": "508-759-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 MAIN STREET",
            "city": "BUZZARDS BAY",
            "state": "MA",
            "postal_code": "02563",
            "telephone_number": "508-759-8852",
            "fax_number": "508-759-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUZZARDS BAY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2009-01-29",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "508-759-8852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "MA1748",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "MA",
            "license": "MA1748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "4400497",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "954853",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "35264",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "954853",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y36232",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1610627",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "768825",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "4400497",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "57566",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buzzards Bay Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Stephen Corey Bond
• Willes Todd Braxton
• Andrea Breaux, COTA
• Ann Briand, HYGIENIST
• Wayne Lee Burton, HS3
• Buzzards Bay Opco LLC (Royal Cape Cod Nursing & Rehabilitation Center)
• Kathleen Byrne, NP
• Calming Minds LLC
• Katherine Cambra, PTA
• Canal Side Family Dental Care, Inc.

• Orthopedic Chiropractor in Buzzards Bay, MA
• Providers in Buzzards Bay, MA by specialty
• Orthopedic Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.