Organization Active NPI

Cataumet Chiropractic Inc

  • Chiropractor
  • Cataumet, MA
National Provider Identifier
1376718270
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2783 Issued in MA
Legal business name
CATAUMET CHIROPRACTIC INC
Practice address
1379 RT 28a Unit B1
Cataumet, MA 02534
Phone
(508) 392-9373
Fax
(508) 392-9472
NPI assigned
Apr 23, 2008
Last updated
Feb 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Authorized official

Name
Dr. Shea Louise Burke, D.C.NPI 1104995562
Title
Chiropractor
Phone
(508) 392-9373

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 2783 MA Primary

Addresses

Primary practice location

1379 RT 28a Unit B1
Cataumet, MA 02534

Mailing address

PO Box 667
Cataumet, MA 02534-0667
Phone (508) 392-9373

Other identifiers 2

IdentifierTypeStateIssuer
7041469OtherAETNA
1040604OtherASH

Other names 1

  • Island Chiropractic,Inc Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120301000004 MA Part B Supplier - Clinic/Group Practice 0547428096 Receives reassigned benefits from 1 practitioner
Practice locations: Cataumet, 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1376718270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 667",
            "city": "CATAUMET",
            "state": "MA",
            "postal_code": "025340667",
            "telephone_number": "508-392-9373",
            "fax_number": "508-392-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1379 RT 28A UNIT B1",
            "city": "CATAUMET",
            "state": "MA",
            "postal_code": "02534",
            "telephone_number": "508-392-9373",
            "fax_number": "508-392-9472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATAUMET CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "SHEA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "508-392-9373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7041469",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASH",
            "identifier": "1040604",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Chiropractic,Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cataumet, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.