NPIMap

Organization Active NPI

Mugavero Chiropractic, PC

  • Chiropractor
  • Bradford, MA
National Provider Identifier
1376737056
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2651 Issued in MA
Legal business name
MUGAVERO CHIROPRACTIC, PC
Practice address
5A S Central St
Bradford, MA 01835-7411
Phone
(978) 521-7111
NPI assigned
Sep 5, 2007
Last updated
Sep 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Authorized official

Name
Pamela Der Bogosian
Title
Billing Office Rep
Phone
(978) 374-3732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2651 MA Primary

Addresses

Primary practice location

5A S Central St
Bradford, MA 01835-7411

Mailing address

5A S Central St
Bradford, MA 01835-7411

Other identifiers 1

IdentifierTypeStateIssuer
Y39579OtherMABLUECROSS BLUESHIELD

National Provider Directory

National Provider Directory

Locations

5A S Central St
Haverhill, MA 01835

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": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1376737056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5A S CENTRAL ST",
            "city": "BRADFORD",
            "state": "MA",
            "postal_code": "018357411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5A S CENTRAL ST",
            "city": "BRADFORD",
            "state": "MA",
            "postal_code": "018357411",
            "telephone_number": "978-521-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUGAVERO CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "DER BOGOSIAN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "BILLING OFFICE REP",
        "authorized_official_telephone_number": "978-374-3732"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "Y39579",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.

Verify at the official NPI Registry.