Organization Active NPI

Axis Chiropractic LLC

  • Chiropractor
  • Stoughton, MA
National Provider Identifier
1558843482
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
AXIS CHIROPRACTIC LLC
Practice address
630 Park St Ste 301
Stoughton, MA 02072-3659
Phone
(781) 886-6150
Fax
(781) 436-5986
NPI assigned
Sep 6, 2018
Last updated
Mar 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Authorized official

Name
Dr. David Miles Gladstone, DC
Title
Clinic Director
Phone
(781) 886-6150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

630 Park St Ste 301
Stoughton, MA 02072-3659

Mailing address

630 Park St Ste 301
Stoughton, MA 02072-3659
Phone (781) 886-6150

National Provider Directory

National Provider Directory

Locations

630 Park St
Ste 301
Stoughton, MA 02072
Phone (781) 886-6150

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1558843482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 PARK ST STE 301",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020723659",
            "telephone_number": "781-886-6150",
            "fax_number": "781-436-5986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 PARK ST STE 301",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020723659",
            "telephone_number": "781-886-6150",
            "fax_number": "781-436-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "GLADSTONE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MILES",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "781-886-6150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 Mar 28, 2023; 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.