Cranberry Square Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2727 Issued in MA

Legal business name

CRANBERRY SQUARE CHIROPRACTIC

Practice address

Box 562
S Yarmouth, MA 02664-0562

Phone

(508) 394-1625

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Wayne D Hicks, DC

Title

Owner

Phone

(508) 394-1625

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1205978103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 ROUTE 134",
            "address_2": "SUITE 3",
            "city": "SOUTH DENNIS",
            "state": "MA",
            "postal_code": "026603739",
            "telephone_number": "508-394-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BOX 562",
            "city": "S YARMOUTH",
            "state": "MA",
            "postal_code": "026640562",
            "telephone_number": "508-394-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANBERRY SQUARE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-394-1625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in S Yarmouth, MA
• Providers in S Yarmouth, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.