Active NPI
Douglas Chiropractic Care, LLP
- Chiropractor
- Billerica, MA
National Provider Identifier
1447454244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3108
- Legal business name
- DOUGLAS CHIROPRACTIC CARE, LLP
- Doing business as
- North Road Chiropractic
- Practice address
- 630 Boston Rd
Billerica, MA 01821-3783 - Phone
- (978) 667-2250
- Fax
- (978) 667-2290
- NPI assigned
- Jun 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Beth Douglas
- Title
- Owner
- Phone
- (978) 667-2250
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3108 | MA | Primary |
Addresses
Primary practice location
630 Boston Rd
Billerica, MA 01821-3783
Mailing address
630 Boston Rd
Billerica, MA 01821-3783
Phone (978) 667-2250
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y40105 | Other | BLUE CROSS BLUE SHIELD OF MA | |
| 1605691 | Medicaid | MA | |
| 8584951 | Other | CIGNA | |
| 1508973322 | Other | MA | INDIVIDUAL NPI NUMBER |
Other names 1
- North Road Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
41 North Rd
Ste 200
Bedford, MA 01730
Phone (781) 275-0564
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Billerica, MA
- NPI 1508973322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427760000000",
"number": "1447454244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 BOSTON RD",
"city": "BILLERICA",
"state": "MA",
"postal_code": "018213783",
"telephone_number": "978-667-2250",
"fax_number": "978-667-2290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 BOSTON RD",
"city": "BILLERICA",
"state": "MA",
"postal_code": "018213783",
"telephone_number": "978-667-2250",
"fax_number": "978-667-2290"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUGLAS CHIROPRACTIC CARE, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-14",
"last_updated": "2015-03-31",
"status": "A",
"authorized_official_last_name": "DOUGLAS",
"authorized_official_first_name": "BETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "978-667-2250"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MA",
"license": "3108",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF MA",
"identifier": "Y40105",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1605691",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8584951",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI NUMBER",
"identifier": "1508973322",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "North Road Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Billerica, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.