State Street Chiropractic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1704 Issued in MA

Legal business name

STATE STREET CHIROPRACTIC, INC

Practice address

147 Milk St
7TH Floor
Boston, MA 02109-4806

Phone

(617) 399-0333

Fax

(617) 338-4160

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

John Paul BeneskiNPI 1003973058

Title

DC/Owner

Phone

(617) 399-0333

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Paul Beneski, D.C.

  • Chiropractor
  • Boston, MA
  • NPI 1003973058
  Medicare reassignment NPD Authorized official
• Thomas G Godbout III, D.C., CCSP

  • Sports Physician Chiropractor
  • Glenview, IL
  • NPI 1669500104
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544140800000",
    "number": "1326191941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 MILK ST FL 9",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021094806",
            "telephone_number": "617-399-0333",
            "fax_number": "617-338-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 MILK ST",
            "address_2": "7TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021094806",
            "telephone_number": "617-399-0333",
            "fax_number": "617-338-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE STREET CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2018-12-07",
        "status": "A",
        "authorized_official_last_name": "BENESKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "DC/OWNER",
        "authorized_official_telephone_number": "617-399-0333"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "Y39262",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Ann Starvaski, BCBA
• Mark Stasaitis, MD
• Julia Staschen
• Kara Pearson Stasko, PA-C
• Robert Staszewski, M.D.
• State Street Eye Health Associates
• Allison Statham, PA
• Spiro Anthony Stathas, MD
• Nikolaos Stathatos, M.D.
• Georgia Stathopoulou, PH.D.

• Chiropractor in Boston, MA
• Providers in Boston, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; 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.