Seaport Chiropractic

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

MA3020 Issued in MA

Legal business name

SEAPORT CHIROPRACTIC

Practice address

28 Bessom Street
Marblehead, MA 01945

Phone

(781) 631-3333

Fax

(781) 631-3339

NPI assigned

May 13, 2014

Organization subpart

No

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

Authorized official

Name

Bryan T RuoccoNPI 1750362273

Title

Chiropractor

Phone

(781) 631-3333

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryan T Ruocco, DC

  • Chiropractor
  • Marblehead, MA
  • NPI 1750362273
  NPD (past) Authorized official

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1588075550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 BESSOM ST",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019452329",
            "telephone_number": "781-631-3333",
            "fax_number": "781-631-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 BESSOM STREET",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "01945",
            "telephone_number": "781-631-3333",
            "fax_number": "781-631-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAPORT CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "RUOCCO",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "781-631-3333"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MA",
            "license": "MA3020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID",
            "identifier": "Y45814",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Savasta, LIC. AC
• Jennifer Kennedy Scala, REGISTERED DIETITIAN
• Marisa Anne Schisler
• Rachel Emily Schultze
• Jill Barri Schwartz, LICSW
• Fern Elise Selesnick, DMD
• Sarahlee Sewards, LICSW
• Danielle Nicole Shea Tan, MS NUTRITION, LDN
• Patricia Wheeler Shea, APRN, BC
• Richard A Sheff, M.D.

• Point of Service in Marblehead, MA
• Providers in Marblehead, MA by specialty
• Point of Service in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.