Active NPI
Jim Guo, D.C.
- Chiropractor
- South Attleboro, MA
National Provider Identifier
1376559807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2262
- Practice address
- 668 Newport Ave
South Attleboro, MA 02703-5625 - Phone
- (508) 399-8880
- Fax
- (508) 399-8881
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2262 | MA | Primary |
Addresses
Primary practice location
668 Newport Ave
South Attleboro, MA 02703-5625
Mailing address
668 Newport Ave
South Attleboro, MA 02703-5625
Phone (508) 399-8880
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y36582 | Other | MA | BCBSMA |
| Y39931 | Other | MA | BCBSMA GROUP |
| 29905 | Other | RI | BCBSRI |
| 1376763383 | Other | MA | NPI FED ID ACUPUNCTURE CH |
| 404715 | Other | RI | BLUE CHIP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2262 | MA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1376559807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "668 NEWPORT AVE",
"city": "SOUTH ATTLEBORO",
"state": "MA",
"postal_code": "027035625",
"telephone_number": "508-399-8880",
"fax_number": "508-399-8881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "668 NEWPORT AVE",
"city": "SOUTH ATTLEBORO",
"state": "MA",
"postal_code": "027035625",
"telephone_number": "508-399-8880",
"fax_number": "508-399-8881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUO",
"first_name": "JIM",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "2262",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA",
"identifier": "Y36582",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA GROUP",
"identifier": "Y39931",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSRI",
"identifier": "29905",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI FED ID ACUPUNCTURE CH",
"identifier": "1376763383",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "404715",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Attleboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.