Graham Chiropractic

Organization Active NPI Chiropractor · Acushnet, MA

NPI 1407970528 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1407970528
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
License
2266 (MA)
Legal business name
GRAHAM CHIROPRACTIC
Practice address
192 C South Main Street
Acushnet, MA 02743-1546
Phone
(508) 995-5525
Fax
(508) 995-5540
NPI assigned
Mar 16, 2007
Organization subpart
No

Authorized official

Name
Dr. Heather Marie Graham, D.C. NPI 1639223761
Title
Chiropractor-Owner
Phone
(508) 995-5525

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

National Provider Directory

Locations

192 S Main St
Unit C
Acushnet, MA 02743
Phone (508) 995-5525

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111N00000X 2266 MA Yes

Addresses

Primary practice location

192 C South Main Street
Acushnet, MA 02743-1546

Mailing address

192 C South Main Street
Acushnet, MA 02743-1546
Phone (508) 995-5525

Other identifiers

IdentifierTypeStateIssuer
1697536MedicaidMA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407970528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 C SOUTH MAIN STREET",
            "city": "ACUSHNET",
            "state": "MA",
            "postal_code": "027431546",
            "telephone_number": "508-995-5525",
            "fax_number": "508-995-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 C SOUTH MAIN STREET",
            "city": "ACUSHNET",
            "state": "MA",
            "postal_code": "027431546",
            "telephone_number": "508-995-5525",
            "fax_number": "508-995-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAHAM CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIROPRACTOR-OWNER",
        "authorized_official_telephone_number": "508-995-5525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1697536",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Acushnet, MA

All providers in Acushnet, MA · Chiropractor in Massachusetts

Sources for this page

Verify at the official NPI Registry.