Organization Active NPI

Framingham Chiropractor Inc

  • Chiropractor
  • Framingham, MA
National Provider Identifier
1417615592
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FRAMINGHAM CHIROPRACTOR INC
Practice address
657 Franklin St
Framingham, MA 01702-2960
Phone
(508) 879-9458
Fax
(508) 879-4053
NPI assigned
Dec 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Authorized official

Name
Paul Jackman, DCNPI 1801057369
Title
President
Phone
(508) 879-9458

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

657 Franklin St
Framingham, MA 01702-2960

Mailing address

657 Franklin St
Framingham, MA 01702-2960
Phone (508) 879-9458

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220213000000 MA Part B Supplier - Clinic/Group Practice 5193118248 Receives reassigned benefits from 1 practitioner
Practice locations: Framingham, MA

National Provider Directory

National Provider Directory

Locations

657 Franklin St
Framingham, MA 01702
Phone (508) 872-3284

Practitioners & affiliated clinicians

Practitioners 4

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": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1417615592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 FRANKLIN ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017022960",
            "telephone_number": "508-879-9458",
            "fax_number": "508-879-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 FRANKLIN ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017022960",
            "telephone_number": "508-879-9458",
            "fax_number": "508-879-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRAMINGHAM CHIROPRACTOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "JACKMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-879-9458",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.