NPIMap

Organization Active NPI

Seaside Chiropractic

  • Chiropractor
  • Norwell, MA
National Provider Identifier
1285976100
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3366 Issued in MA
Legal business name
SEASIDE CHIROPRACTIC
Practice address
339 Washington St
Norwell, MA 02061-1903
Phone
(781) 659-2104
NPI assigned
Mar 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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

Authorized official

Name
Amanda Halstead, D.C.NPI 1952674970
Title
Chiropractor/Owner
Phone
(781) 659-2104

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 3366 MA Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 3400 MA

Addresses

Primary practice location

339 Washington St
Norwell, MA 02061-1903

Mailing address

339 Washington St
Norwell, MA 02061-1903
Phone (781) 659-2104

Other identifiers 1

IdentifierTypeStateIssuer
002618001OtherMAMEDICARE PTAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1363564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363564800000",
    "number": "1285976100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 WASHINGTON ST",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611903",
            "telephone_number": "781-659-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 WASHINGTON ST",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611903",
            "telephone_number": "781-659-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-18",
        "last_updated": "2013-03-18",
        "status": "A",
        "authorized_official_last_name": "HALSTEAD",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "781-659-2104",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3366",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "002618001",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.