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.
- Title
- Chiropractor-Owner
- Phone
- (508) 995-5525
Practitioners 1
-
Heather M Graham, DC
National Provider Directory
Locations
192 S Main St
Unit C
Acushnet, MA 02743
Phone (508) 995-5525
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1697536 | Medicaid | MA |
NPI Registry JSON
{
"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": []
}
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All providers in Acushnet, MA · Chiropractor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.