Organization Active NPI

Beacon Family Chiropractic

  • Chiropractor
  • Milford, MA
National Provider Identifier
1255740692
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3357 Issued in MA
Legal business name
BEACON FAMILY CHIROPRACTIC
Practice address
189 Main St
2ND Floor
Milford, MA 01757-2627
Phone
(508) 482-0642
Fax
(508) 482-0697
NPI assigned
Aug 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Authorized official

Name
Dr. Laura J. Gregor-Hodne, D.C.NPI 1073863619
Title
Ceo/Chiropractor
Phone
(508) 482-0642

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 3357 MA Primary

Addresses

Primary practice location

189 Main St
2ND Floor
Milford, MA 01757-2627

Mailing address

189 Main St
2ND Floor
Milford, MA 01757-2627
Phone (508) 482-0642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150514002697 MA Part B Supplier - Clinic/Group Practice 9436479474 Receives reassigned benefits from 1 practitioner
Practice locations: Milford, MA

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": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1255740692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572627",
            "telephone_number": "508-482-0642",
            "fax_number": "508-482-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572627",
            "telephone_number": "508-482-0642",
            "fax_number": "508-482-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "GREGOR-HODNE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO/CHIROPRACTOR",
        "authorized_official_telephone_number": "508-482-0642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.