Organization Active NPI

SVL Corporation

  • Chiropractor
  • Canton, MA
National Provider Identifier
1215344304
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2177 Issued in MA
Legal business name
SVL CORPORATION
Practice address
340 Pine St
Canton, MA 02021-3357
Phone
(781) 989-4762
Fax
(781) 688-1578
NPI assigned
Jul 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Authorized official

Name
Mr. Michael Eagnatiev
Title
President
Phone
(781) 989-4762

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2177 MA Primary

Addresses

Primary practice location

340 Pine St
Canton, MA 02021-3357

Mailing address

340 Pine St
Canton, MA 02021-3357
Phone (781) 989-4762

Other names 1

  • Pine Street Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

340 Pine St
Canton, MA 02021
Phone (781) 989-4762

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1215344304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 PINE ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020213357",
            "telephone_number": "781-989-4762",
            "fax_number": "781-688-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 PINE ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020213357",
            "telephone_number": "781-989-4762",
            "fax_number": "781-688-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SVL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "EAGNATIEV",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-989-4762",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Street Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.