Cranberry Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

25 Issued in MA

Legal business name

CRANBERRY CHIROPRACTIC

Practice address

205 W Grove St
Suite D
Middleboro, MA 02346-1462

Phone

(508) 946-6455

Fax

(508) 947-6456

NPI assigned

May 9, 2007

Last updated

Sep 17, 2010By 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

Dr. Dwayne Robert Hannam, D.C.NPI 1275674145

Title

President

Phone

(508) 947-6455

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Dwayne Robert Hannam, D.C.

  • Chiropractor
  • Middleboro, MA
  • NPI 1275674145
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1447464821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W GROVE ST",
            "address_2": "SUITE D",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023461462",
            "telephone_number": "508-946-6455",
            "fax_number": "508-947-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W GROVE ST",
            "address_2": "SUITE D",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023461462",
            "telephone_number": "508-946-6455",
            "fax_number": "508-947-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANBERRY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "HANNAM",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-947-6455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "25",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y39367",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher James Cotton
• Couet Family Dental, Inc.
• Stephen Robert Couet, D.D.S.
• Jeffrey Coutinho, PTA
• Lisa Ann Couto
• Cranberry Home Care
• Tara L Cravero
• Amy Crespi
• Richard Cronan
• Alexandria Cruz

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.