Active NPI
Lynda Doricent, D.C.
- Chiropractor
- Somerville, MA
National Provider Identifier
1487867420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2700
- Practice address
- 690 Broadway
Somerville, MA 02144 - Phone
- (617) 629-2600
- Fax
- (617) 666-9302
- NPI assigned
- May 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2700 | MA | Primary |
Addresses
Primary practice location
690 Broadway
Somerville, MA 02144
Mailing address
52 Morrison Ave
Somerville, MA 02144-2309
Phone (617) 872-2140
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3235926 | Other | MA | AETNA |
| 414532 | Other | MA | TUFTS |
| 1604601 | Medicaid | MA | |
| 352433 | Other | MA | HARVARD PILGRIM |
| 3790901 | Other | MA | CIGNA |
| Y36947 | Other | MA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1487867420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 MORRISON AVE",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021442309",
"telephone_number": "617-872-2140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 BROADWAY",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "02144",
"telephone_number": "617-629-2600",
"fax_number": "617-666-9302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORICENT",
"first_name": "LYNDA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "2700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3235926",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "414532",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1604601",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "352433",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3790901",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y36947",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.