Organization Active NPI

Spine Align Chiropractic, LLC

  • Chiropractor
  • North Andover, MA
National Provider Identifier
1285408740
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SPINE ALIGN CHIROPRACTIC, LLC
Practice address
1005 Osgood St
North Andover, MA 01845-1501
Phone
(978) 965-4925
NPI assigned
Nov 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Authorized official

Name
Dr. Shayla Caron, DC
Title
Owner
Phone
(978) 965-4925

Specialties & licenses 1

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

Addresses

Primary practice location

1005 Osgood St
North Andover, MA 01845-1501

Mailing address

1005 Osgood St
North Andover, MA 01845-1501
Phone (978) 965-4925

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240112001020 MA Part B Supplier - Clinic/Group Practice 1456702562 Receives reassigned benefits from 1 practitioner
Practice locations: North Andover, 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": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1285408740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 OSGOOD ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018451501",
            "telephone_number": "978-965-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 OSGOOD ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018451501",
            "telephone_number": "978-965-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE ALIGN CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "CARON",
        "authorized_official_first_name": "SHAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-965-4925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.