Modern Family Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

55 Issued in MA

Legal business name

MODERN FAMILY CHIROPRACTIC LLC

Practice address

17 Cocasset St
Foxboro, MA 02035-2948

Phone

(508) 543-1866

Fax

(508) 543-1867

NPI assigned

May 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Patrick Bentz, DCNPI 1336248384

Title

President

Phone

(508) 543-1866

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

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

• Daniel Patrick Bentz, DC

  • Chiropractor
  • Foxboro, MA
  • NPI 1336248384
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239062400000",
    "number": "1326249756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 COCASSET ST",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020352948",
            "telephone_number": "508-543-1866",
            "fax_number": "508-543-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 COCASSET ST",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020352948",
            "telephone_number": "508-543-1866",
            "fax_number": "508-543-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2009-04-07",
        "status": "A",
        "authorized_official_last_name": "BENTZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-543-1866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "55",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA GROUP ID # MFC",
            "identifier": "Y39626",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medispa Management Solutions Inc
• Eric Mentzer, DPT
• Nicole Meyer, RD
• Richard G Miller, D.M.D.
• Mindful Solutions Counseling Center, LLC
• Katelyn Morse, DPT
• Motion Works Physical Therapy, LLC
• Regina Marie Muccio, CPNP
• Amy Marie Muldowney, LMHC, BCBA
• Mary Jane Mullen

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.