Bottary Chiropractic Professional LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2620 Issued in MA

Legal business name

BOTTARY CHIROPRACTIC PROFESSIONAL LLC

Practice address

789 Belleville Ave
New Bedford, MA 02745-6126

Phone

(508) 995-2000

Fax

(781) 826-0054

NPI assigned

Jan 28, 2013

Organization subpart

No

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

Authorized official

Name

Diane N Bottary, DCNPI 1639198765

Title

President

Phone

(508) 995-2000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

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

• Diane Bottary, DC

  • Chiropractor
  • Roslindale, MA
  • NPI 1639198765
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589241600000",
    "number": "1427396357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 BELLEVILLE AVE",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027456126",
            "telephone_number": "508-995-2000",
            "fax_number": "781-826-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 BELLEVILLE AVE",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027456126",
            "telephone_number": "508-995-2000",
            "fax_number": "781-826-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOTTARY CHIROPRACTIC PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-28",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A",
        "authorized_official_last_name": "BOTTARY",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-995-2000",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daedre L Botelho, D.C.
• Jeffrey M Botelho, PT
• Julie Botelho
• Lisa Botelho
• Shannon Botelho
• Jessica Botteri
• Melissa Bouchard
• Jessica Boucher III
• Miryam Amelie Boucher, NP-C
• Kimberly Boudreau, RN

• Chiropractor in New Bedford, MA
• Providers in New Bedford, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.