Organization Active NPI

Mind Body Spine Chiropractic Inc

  • Chiropractor
  • Brewster, MA
National Provider Identifier
1538741335
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MIND BODY SPINE CHIROPRACTIC INC
Practice address
1573 Main St
Brewster, MA 02631-1719
Phone
(508) 896-7277
Fax
(508) 896-1811
NPI assigned
Apr 22, 2021
Last updated
Jun 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Authorized official

Name
Michael Singleton, DCNPI 1326029687
Title
President
Phone
(508) 896-7277

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1573 Main St
Brewster, MA 02631-1719

Mailing address

1573 Main St
Brewster, MA 02631-1719
Phone (508) 896-7277

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210629000191 MA Part B Supplier - Clinic/Group Practice 4789085770 Receives reassigned benefits from 1 practitioner
Practice locations: Brewster, MA

National Provider Directory

National Provider Directory

Locations

1573 Main St
Brewster, MA 02631
Phone (508) 896-1811

Practitioners & affiliated clinicians

Practitioners 2

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": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1538741335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 MAIN ST",
            "city": "BREWSTER",
            "state": "MA",
            "postal_code": "026311719",
            "telephone_number": "508-896-7277",
            "fax_number": "508-896-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1573 MAIN ST",
            "city": "BREWSTER",
            "state": "MA",
            "postal_code": "026311719",
            "telephone_number": "508-896-7277",
            "fax_number": "508-896-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY SPINE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "SINGLETON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-896-7277",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.

Verify at the official NPI Registry.