S-H Chiropractic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

S-H CHIROPRACTIC, INC

Doing business as

Brockton Spine

Practice address

15 Christy Dr
Brockton, MA 02301-1850

Phone

(508) 583-2121

Fax

(508) 583-0086

NPI assigned

Feb 27, 2023

Last updated

Mar 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristy Hannon, DCNPI 1790719862

Title

Owner/Chiropractor

Phone

(508) 583-2121

Specialties & licenses 1

Addresses

Other names 1

• Brockton Spine Doing business as

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, and the practitioner matching its NPPES authorized official.

• Kristy Lynn Hannon, DC

  • Chiropractor
  • Brockton, MA
  • NPI 1790719862
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1427757558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 LOTHROP ST",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561803",
            "telephone_number": "339-987-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CHRISTY DR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011850",
            "telephone_number": "508-583-2121",
            "fax_number": "508-583-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S-H CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "HANNON",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "508-583-2121",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brockton Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Brockton, MA
• Providers in Brockton, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.