Active NPI
Benjamin S. Grace, D.C.
- Chiropractor
- Newton, MA
National Provider Identifier
1427161835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2809
- Practice address
- 717 Washington St
Suite 1
Newton, MA 02458-1281 - Phone
- (617) 527-2702
- Fax
- (617) 527-0702
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2809 | MA | Primary |
Addresses
Primary practice location
717 Washington St
Suite 1
Newton, MA 02458-1281
Mailing address
717 Washington St
Suite 1
Newton, MA 02458-1281
Phone (617) 527-2702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060314000112 | MA | Practitioner - Chiropractic | 3971510181 | Practice locations: Newton, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
717 Washington St
Newton, MA 02460
717 Washington St
Suite 1
Newton, MA 02458-1269
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2809 | MA | MD | Mechanotherapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benjamin Grace | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427161835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 WASHINGTON ST",
"address_2": "SUITE 1",
"city": "NEWTON",
"state": "MA",
"postal_code": "024581281",
"telephone_number": "617-527-2702",
"fax_number": "617-527-0702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 WASHINGTON ST",
"address_2": "SUITE 1",
"city": "NEWTON",
"state": "MA",
"postal_code": "024581281",
"telephone_number": "617-527-2702",
"fax_number": "617-527-0702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRACE",
"first_name": "BENJAMIN",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "2809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.