Organization Active NPI

Spine Care Center, Inc

  • Chiropractor
  • Dorchester, MA
National Provider Identifier
1457694069
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3412 Issued in MA
Legal business name
SPINE CARE CENTER, INC
Practice address
413 Neponset Ave
Suite 2
Dorchester, MA 02122-3131
Phone
(617) 282-6400
Fax
(617) 282-8164
NPI assigned
Apr 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2013

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

Authorized official

Name
Dr. Kris Roberte Laliberte, D.C.
Title
Chiropractor
Phone
(617) 282-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3412 MA Primary

Addresses

Primary practice location

413 Neponset Ave
Suite 2
Dorchester, MA 02122-3131

Mailing address

413 Neponset Ave
Suite 2
Dorchester, MA 02122-3131
Phone (617) 282-6400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364860800000",
    "number": "1457694069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 NEPONSET AVE",
            "address_2": "SUITE 2",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021223131",
            "telephone_number": "617-282-6400",
            "fax_number": "617-282-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 NEPONSET AVE",
            "address_2": "SUITE 2",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021223131",
            "telephone_number": "617-282-6400",
            "fax_number": "617-282-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-02",
        "last_updated": "2013-04-02",
        "status": "A",
        "authorized_official_last_name": "LALIBERTE",
        "authorized_official_first_name": "KRIS",
        "authorized_official_middle_name": "ROBERTE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "617-282-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.