Pine Grove Chiropractic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1288 Issued in MA

Legal business name

PINE GROVE CHIROPRACTIC, P.C.

Practice address

934 Ashley Boulevard
New Bedford, MA 02745

Phone

(908) 998-8444

Fax

(508) 998-9777

NPI assigned

Nov 14, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Carol A. Duphily, D.C.

Title

Owner

Phone

(508) 998-8444

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Carol Duphily, D.C. Former legal business name

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1386825776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 ASHLEY BOULEVARD",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "02745",
            "telephone_number": "908-998-8444",
            "fax_number": "508-998-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 ASHLEY BOULEVARD",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "02745",
            "telephone_number": "908-998-8444",
            "fax_number": "508-998-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE GROVE CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "DUPHILY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-998-8444",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD MA",
            "identifier": "Y39254",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1611666",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carol Duphily, D.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Cory Pina
• Shawn Pina
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• Catherine Mary Pires, PTA
• Elsa Pires

• Chiropractor in New Bedford, MA
• Providers in New Bedford, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; 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.