Organization Active NPI

North Reading Chiropractic Associates, PC

  • Chiropractor
  • North Reading, MA
National Provider Identifier
1215055959
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 2018 Issued in MA
Legal business name
NORTH READING CHIROPRACTIC ASSOCIATES, PC
Practice address
21 Main St
Suite 1C
North Reading, MA 01864-5001
Phone
(978) 664-0610
Fax
(978) 664-0723
NPI assigned
Mar 27, 2007
Last updated
Jul 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Authorized official

Name
Dr. Jeffrey Neil Berube, DCNPI 1669574349
Title
Chiropractic Physician
Phone
(978) 664-0610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH 2018 MA Primary

Addresses

Primary practice location

21 Main St
Suite 1C
North Reading, MA 01864-5001

Mailing address

21 Main St
Suite 1C
North Reading, MA 01864-5001
Phone (978) 664-0610

Other identifiers 10

IdentifierTypeStateIssuer
33386563OtherMAUNICARE
407185OtherMATUFTS HEALTH PLAN
0021801OtherMANEIGHBORHOOD HEALTH PLAN
1613863MedicaidMA
2239858OtherMAAETNA
4400627OtherMAUNITED HEALTH CARE
6565933001OtherMACGNA HEALTH SOURCE
351362OtherMAHARVARD PILGRIM HEALTH
Y36666OtherMABLUE CROSS BLUE SHIELS
617185OtherMAACN

National Provider Directory

National Provider Directory

Locations

21 Main St
North Reading, MA 01864
Phone (978) 664-0610

352 Park St
Ste 103
North Reading, MA 01864
Phone (978) 664-0610

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1215055959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MAIN ST",
            "address_2": "SUITE 1C",
            "city": "NORTH READING",
            "state": "MA",
            "postal_code": "018645001",
            "telephone_number": "978-664-0610",
            "fax_number": "978-664-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MAIN ST",
            "address_2": "SUITE 1C",
            "city": "NORTH READING",
            "state": "MA",
            "postal_code": "018645001",
            "telephone_number": "978-664-0610",
            "fax_number": "978-664-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH READING CHIROPRACTIC ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "BERUBE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "978-664-0610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "CH 2018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "33386563",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "407185",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0021801",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1613863",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2239858",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "4400627",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CGNA HEALTH SOURCE",
            "identifier": "6565933001",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "351362",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELS",
            "identifier": "Y36666",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "617185",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Reading, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.