NPIMap

Organization Active NPI

True Life Chiropractic

  • Chiropractor
  • Kingston, MA
National Provider Identifier
1265573851
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1946 Issued in MA
Legal business name
TRUE LIFE CHIROPRACTIC
Practice address
283 Main St
Kingston, MA 02364-1910
Phone
(781) 585-0585
Fax
(781) 585-0586
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Dr. Susan Frances Waletkus, DCNPI 1508915976
Title
Owner
Phone
(781) 585-0585

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 1946 MA Primary

Addresses

Primary practice location

283 Main St
Kingston, MA 02364-1910

Mailing address

283 Main St
Kingston, MA 02364-1910
Phone (781) 585-0585

Other identifiers 7

IdentifierTypeStateIssuer
35851OtherMAHARVARD PILGRIM
Y39589OtherMABCBS
1612905MedicaidMA
402656OtherMATUFTS
Y36466OtherMABCBS
U58872OtherMAFIRST SENIORITY
0018410OtherMANEIGHBORHOOD

National Provider Directory

National Provider Directory

Locations

283 Main St
Kingston, MA 02364
Phone (781) 585-0585

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": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1265573851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 MAIN ST",
            "city": "KINGSTON",
            "state": "MA",
            "postal_code": "023641910",
            "telephone_number": "781-585-0585",
            "fax_number": "781-585-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 MAIN ST",
            "city": "KINGSTON",
            "state": "MA",
            "postal_code": "023641910",
            "telephone_number": "781-585-0585",
            "fax_number": "781-585-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE LIFE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "WALETKUS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-585-0585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "35851",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y39589",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1612905",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "402656",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y36466",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST SENIORITY",
            "identifier": "U58872",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD",
            "identifier": "0018410",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.