Active NPI
Chiropractic Health Group, PC
- Chiropractor
- Canton, MA
National Provider Identifier
1457405367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1871MA
- Legal business name
- CHIROPRACTIC HEALTH GROUP, PC
- Practice address
- 95 Washington St
Suite 416
Canton, MA 02021-4006 - Phone
- (781) 575-0100
- Fax
- (781) 821-9964
- NPI assigned
- Jan 22, 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
- Dr. Glenn Lee Dodes, D.C.
- Title
- President
- Phone
- (781) 575-0100
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 | 1871MA | MA | Primary |
Addresses
Primary practice location
95 Washington St
Suite 416
Canton, MA 02021-4006
Mailing address
95 Washington St
Suite 416
Canton, MA 02021-4006
Phone (781) 575-0100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 612569 | Other | MA | TUFTS GROUP |
| Y39167 | Other | MA | BLUE CROSS GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
95 Washington St
Ste 416
Canton, MA 02021
Phone (781) 575-0100
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Canton, MA
- NPI 1154421212
-
- Chiropractor
- Canton, MA
- NPI 1295094308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1457405367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 WASHINGTON ST",
"address_2": "SUITE 416",
"city": "CANTON",
"state": "MA",
"postal_code": "020214006",
"telephone_number": "781-575-0100",
"fax_number": "781-821-9964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 WASHINGTON ST",
"address_2": "SUITE 416",
"city": "CANTON",
"state": "MA",
"postal_code": "020214006",
"telephone_number": "781-575-0100",
"fax_number": "781-821-9964"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIROPRACTIC HEALTH GROUP, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DODES",
"authorized_official_first_name": "GLENN",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "781-575-0100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MA",
"license": "1871MA",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS GROUP",
"identifier": "612569",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS GROUP",
"identifier": "Y39167",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.