Fairway Chiropractic Clinic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

97 Issued in MA

Legal business name

FAIRWAY CHIROPRACTIC CLINIC, PC

Practice address

1501 Main St
Unit 2
Tewksbury, MA 01876-4725

Phone

(978) 851-9055

Fax

(978) 851-9033

NPI assigned

Dec 18, 2006

Last updated

Oct 30, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Douglas Maguire, DCNPI 1992882625

Title

President

Phone

(978) 851-9055

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 3

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.

• Douglas G Maguire, D.C.

  • Chiropractor
  • Tewksbury, MA
  • NPI 1992882625
  Medicare reassignment Authorized official
• Susan Ferguson, DC

  • Chiropractor
  • Tewksbury, MA
  • NPI 1841353224
  NPD (past)
• Rachelle H King, DC

  • Chiropractor
  • Chelmsford, MA
  • NPI 1093950651
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1386707776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 MAIN ST",
            "address_2": "UNIT 2",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018764725",
            "telephone_number": "978-851-9055",
            "fax_number": "978-851-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 MAIN ST",
            "address_2": "UNIT 2",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018764725",
            "telephone_number": "978-851-9055",
            "fax_number": "978-851-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRWAY CHIROPRACTIC CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "MAGUIRE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-851-9055",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "97",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "689907",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA",
            "identifier": "Y39244",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janelle T Engrem
• Erlin Manor Assisted Living, Inc.
• Erlin Manor Nursing Home Inc (Blaire House of Tewksbury)
• Andrew Escoll, MD
• Excel Home Care, Inc.
• Familiy Care Centers PC
• Denise H Farnsworth, PT
• McKayla Lynn Faulkner
• Jaimie Federico
• Sandra Noemi Feliciano, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.