NPIMap

Organization Active NPI

North Eastern Specific Chiropractic, Inc

  • Chiropractor
  • Southbridge, MA
National Provider Identifier
1205385127
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NORTH EASTERN SPECIFIC CHIROPRACTIC, INC
Doing business as
The Specific Chiropractic Center
Practice address
22 Goddard St
Southbridge, MA 01550-2482
Phone
(508) 505-5155
NPI assigned
Oct 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Authorized official

Name
Shelly Trevens, DCNPI 1538410931
Title
President
Phone
(508) 505-5155

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X MA Primary

Addresses

Primary practice location

22 Goddard St
Southbridge, MA 01550-2482

Mailing address

22 Goddard St
Southbridge, MA 01550-2482
Phone (508) 505-5155

Other names 1

  • The Specific Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

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": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1205385127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 GODDARD ST",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015502482",
            "telephone_number": "508-505-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 GODDARD ST",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015502482",
            "telephone_number": "508-505-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH EASTERN SPECIFIC CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "TREVENS",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-505-5155",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Specific Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southbridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.