Active NPI
Island Chiropractic Inc
- Chiropractor
- Nantucket, MA
National Provider Identifier
1255873626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 3470
- Legal business name
- ISLAND CHIROPRACTIC INC
- Practice address
- 4 Bartlett Rd
Nantucket, MA 02554-4381 - Phone
- (508) 325-4777
- Fax
- (508) 228-7024
- NPI assigned
- Nov 16, 2016
- Last updated
- Nov 16, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nicholas O Ouellette, D.C.
- Title
- President
- Phone
- (774) 319-3821
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH 3470 | MA | Primary |
Addresses
Primary practice location
4 Bartlett Rd
Nantucket, MA 02554-4381
Mailing address
4 Bartlett Rd
Nantucket, MA 02554-4381
Phone (508) 325-4777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Chiropractor
- Nantucket, MA
- NPI 1093116980
-
- Chiropractor
- Nantucket, MA
- NPI 1528502424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479254400000",
"number": "1255873626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 BARTLETT RD",
"city": "NANTUCKET",
"state": "MA",
"postal_code": "025544381",
"telephone_number": "508-325-4777",
"fax_number": "508-228-7024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 BARTLETT RD",
"city": "NANTUCKET",
"state": "MA",
"postal_code": "025544381",
"telephone_number": "508-325-4777",
"fax_number": "508-228-7024"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISLAND CHIROPRACTIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-16",
"last_updated": "2016-11-16",
"status": "A",
"authorized_official_last_name": "OUELLETTE",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "774-319-3821",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "CH 3470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nantucket, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.