Individual provider Active NPI

Timothy R Hinds, DC

  • Chiropractor
  • Stoughton, MA
National Provider Identifier
1518612944
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3767 Issued in MA
Practice address
419 Washington St
Stoughton, MA 02072-4203
Phone
(781) 680-5990
Fax
(781) 795-9947
NPI assigned
Feb 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3767 MA Primary

Addresses

Primary practice location

419 Washington St
Stoughton, MA 02072-4203

Mailing address

419 Washington St
Stoughton, MA 02072-4203
Phone (781) 680-5990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220219000018 MA Practitioner - Chiropractic 6204220171 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11 Memorial Dr
Suite 2
Plymouth, MA 02360-3877
Phone (774) 313-8305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3767MAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Alpine Chiropractic LLC Chiropractor CurrentSince Dec 1, 2024 Accepting new patients
Bay State Physical Therapy of Randolph Inc Chiropractor CurrentSince Feb 11, 2022 Accepting new patients

Locations

1054 County St
Somerset, MA 02726
Phone (508) 674-3340

419 Washington St
Stoughton, MA 02072
Phone (781) 436-0531

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1518612944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 WASHINGTON ST",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020724203",
            "telephone_number": "781-680-5990",
            "fax_number": "781-795-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 WASHINGTON ST",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020724203",
            "telephone_number": "781-680-5990",
            "fax_number": "781-795-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINDS",
        "first_name": "TIMOTHY",
        "middle_name": "R",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.