Organization Active NPI

Ciccone Chiropractic, Inc.

  • Chiropractor
  • South Lancaster, MA
National Provider Identifier
1508027483
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3045 Issued in MA
Legal business name
CICCONE CHIROPRACTIC, INC.
Practice address
131 Main Street
Suite 7
South Lancaster, MA 01561
Phone
(978) 368-3330
Fax
(978) 368-3337
NPI assigned
Jun 23, 2008
Last updated
Jul 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Authorized official

Name
Dr. Dennis James Ciccone Jr., D.C.NPI 1003835356
Title
Owner/Doctor
Phone
(978) 368-3330

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)CodeLicenseStatePrimary
Chiropractor 111N00000X 3045 MA Primary

Addresses

Primary practice location

131 Main Street
Suite 7
South Lancaster, MA 01561

Mailing address

PO Box 486
South Lancaster, MA 01561-0486
Phone (978) 368-3330

Other identifiers 17

IdentifierTypeStateIssuer
1003835356OtherNPI 1
1149717 - HMOOtherMAAETNA
0007435OtherMAMEDICARE PTAN
2414216OtherMACIGNA
37237OtherMAGIC - COMM SERVICE CENTER (UNICARE)
5675433OtherMACOVENTRY
AA50991OtherMAHARVARD PILGRIM-HEALTH PLAN INC- FSF
2612009OtherMAUNITED HEALTH (ACN)
7908740 - PPOOtherMAAETNA
1600851OtherMAMASS HEALTH
9411420OtherMAPCHS
1064159OtherMAASHN
415253OtherMATUFTS PPO - TUFTS MEDICARE PREFERRED
11535181OtherMACAQH
95855601OtherMANETWORK HEALTH
Y40169OtherMABLUECROSSBLUESHIELD
Y43099OtherMAADVENTIST RISK

National Provider Directory

National Provider Directory

Locations

45 High St
Ste A
Clinton, MA 01510
Phone (508) 847-1039

131 Main St
Ste 7
Lancaster, MA 01523
Phone (978) 368-3330

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1508027483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 486",
            "city": "SOUTH LANCASTER",
            "state": "MA",
            "postal_code": "015610486",
            "telephone_number": "978-368-3330",
            "fax_number": "978-368-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MAIN STREET",
            "address_2": "SUITE 7",
            "city": "SOUTH LANCASTER",
            "state": "MA",
            "postal_code": "01561",
            "telephone_number": "978-368-3330",
            "fax_number": "978-368-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CICCONE CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "CICCONE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "978-368-3330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI  1",
            "identifier": "1003835356",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1149717 - HMO",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0007435",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2414216",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GIC - COMM SERVICE CENTER (UNICARE)",
            "identifier": "37237",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "5675433",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM-HEALTH PLAN INC- FSF",
            "identifier": "AA50991",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH (ACN)",
            "identifier": "2612009",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7908740 - PPO",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS HEALTH",
            "identifier": "1600851",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PCHS",
            "identifier": "9411420",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHN",
            "identifier": "1064159",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS PPO - TUFTS MEDICARE PREFERRED",
            "identifier": "415253",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11535181",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "95855601",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "Y40169",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVENTIST RISK",
            "identifier": "Y43099",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lancaster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.