NPIMap

Organization Active NPI

Intergrative Medicine&Holistic Wellness Ctr

  • Chiropractor
  • Hyannis, MA
National Provider Identifier
1356629828
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
439 Issued in MA
Legal business name
INTERGRATIVE MEDICINE&HOLISTIC WELLNESS CTR
Practice address
677 W Main St
Hyannis, MA 02601-3493
Phone
(508) 790-0606
Fax
(508) 790-0808
NPI assigned
Aug 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Authorized official

Name
Mrs. Joan Coleman
Title
Office Manager
Phone
(508) 790-0606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 439 MA Primary

Addresses

Primary practice location

677 W Main St
Hyannis, MA 02601-3493

Mailing address

677 W Main St
Hyannis, MA 02601-3493
Phone (508) 790-0606

Other identifiers 2

IdentifierTypeStateIssuer
1606221MedicaidMA
1617265MedicaidMA

National Provider Directory

National Provider Directory

Locations

677 W Main St
Hyannis, MA 02601
Phone (508) 790-0606

NPI Registry JSON

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1356629828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 W MAIN ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013493",
            "telephone_number": "508-790-0606",
            "fax_number": "508-790-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 W MAIN ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013493",
            "telephone_number": "508-790-0606",
            "fax_number": "508-790-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERGRATIVE MEDICINE&HOLISTIC WELLNESS CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-01",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "508-790-0606",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1606221",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1617265",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.