NPIMap

Organization Active NPI

Main Street Chiropractic, LLC

  • Chiropractor
  • Watertown, MA
National Provider Identifier
1396958898
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
180 Issued in MA
Legal business name
MAIN STREET CHIROPRACTIC, LLC
Practice address
182 Main St
Watertown, MA 02472-4409
Phone
(617) 924-8558
Fax
(617) 924-8559
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Kate Bemis
Title
Office Manager
Phone
(617) 924-8558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 180 MA Primary

Addresses

Primary practice location

182 Main St
Watertown, MA 02472-4409

Mailing address

182 Main St
Watertown, MA 02472-4409
Phone (617) 924-8558

Other identifiers 1

IdentifierTypeStateIssuer
Y39851OtherMALEGACY GROUP PROVIDER #

National Provider Directory

National Provider Directory

Locations

182 Main St
Watertown, MA 02472
Phone (617) 564-0656

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396958898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 MAIN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724409",
            "telephone_number": "617-924-8558",
            "fax_number": "617-924-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 MAIN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724409",
            "telephone_number": "617-924-8558",
            "fax_number": "617-924-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEMIS",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "617-924-8558",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEGACY GROUP PROVIDER #",
            "identifier": "Y39851",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.