Organization Active NPI

Chiropractic Southeast Inc

  • Chiropractor
  • South Easton, MA
National Provider Identifier
1407971120
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1310 Issued in MA
Legal business name
CHIROPRACTIC SOUTHEAST INC
Practice address
479 Turnpike St
South Easton, MA 02375
Phone
(508) 238-8521
Fax
(508) 238-8523
NPI assigned
Mar 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Dr. Warren L Pyne Jr., DCNPI 1144380155
Title
Doctor Owner
Phone
(508) 238-8521

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1310 MA Primary

Addresses

Primary practice location

479 Turnpike St
South Easton, MA 02375

Mailing address

479 Turnpike St
South Easton, MA 02375
Phone (508) 238-8521

Other identifiers 3

IdentifierTypeStateIssuer
1612123MedicaidMA
712236OtherMATUFTS
35394OtherMAPILGRIM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181210000875 MA Part B Supplier - Clinic/Group Practice 5193069797 Receives reassigned benefits from 2 practitioners
Practice locations: South Easton, MA

National Provider Directory

National Provider Directory

Locations

479 Turnpike St
South Easton, MA 02375
Phone (508) 238-8521

479 Turnpike St
Ste 3
South Easton, MA 02375
Phone (508) 238-8521

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407971120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 TURNPIKE ST",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "02375",
            "telephone_number": "508-238-8521",
            "fax_number": "508-238-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 TURNPIKE ST",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "02375",
            "telephone_number": "508-238-8521",
            "fax_number": "508-238-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC SOUTHEAST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PYNE",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "508-238-8521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1612123",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "712236",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PILGRIM",
            "identifier": "35394",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Easton, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.