Organization Active NPI

Douglas Family Chiropractic, Inc

  • Chiropractor
  • Sagamore Beach, MA
National Provider Identifier
1295841575
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2550 Issued in MA
Legal business name
DOUGLAS FAMILY CHIROPRACTIC, INC
Practice address
180 State Rd
Suite 2L
Sagamore Beach, MA 02562-2362
Phone
(508) 888-3949
Fax
(508) 888-3910
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Authorized official

Name
Dr. Brian J Douglas, DCNPI 1568408482
Title
President
Phone
(508) 888-3949

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 2550 MA Primary

Addresses

Primary practice location

180 State Rd
Suite 2L
Sagamore Beach, MA 02562-2362

Mailing address

180 State Rd
Suite 2L
Sagamore Beach, MA 02562-2362
Phone (508) 888-3949

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061004000428 MA Part B Supplier - Clinic/Group Practice 7315943925 Receives reassigned benefits from 1 practitioner
Practice locations: Sagamore Beach, 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": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1295841575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 STATE RD",
            "address_2": "SUITE 2L",
            "city": "SAGAMORE BEACH",
            "state": "MA",
            "postal_code": "025622362",
            "telephone_number": "508-888-3949",
            "fax_number": "508-888-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 STATE RD",
            "address_2": "SUITE 2L",
            "city": "SAGAMORE BEACH",
            "state": "MA",
            "postal_code": "025622362",
            "telephone_number": "508-888-3949",
            "fax_number": "508-888-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS FAMILY CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-888-3949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sagamore Beach, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.