Sullivan Chiropractic & Rehabilitation, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X2069 Issued in MA

Legal business name

SULLIVAN CHIROPRACTIC & REHABILITATION, INC.

Practice address

142 Rantoul St
Beverly, MA 01915-4241

Phone

(978) 921-4440

Fax

(978) 921-6349

NPI assigned

Jan 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Brian C Sullivan, D.C.NPI 1336282961

Title

President

Phone

(978) 921-4440

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Brian C Sullivan, D.C.

  • Chiropractor
  • Boston, MA
  • NPI 1336282961
  NPD (past) Authorized official

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1407031677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 RANTOUL ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019154241",
            "telephone_number": "978-921-4440",
            "fax_number": "978-921-6349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 RANTOUL ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019154241",
            "telephone_number": "978-921-4440",
            "fax_number": "978-921-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN CHIROPRACTIC & REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-921-4440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "X2069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "Y39672",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claudia Donna Stuber
• Rachel Stuck
• Gretchen Stuwe-Keohane, R.N.,C.S.
• Indra Sandrina Suckra
• Youngun Suh, PA-C
• Arianna Sullivan
• Kelly Sullivan
• Kelly Mary Sullivan
• Melissa Sullivan
• Thomas Jay Sunderman

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.