Organization Active NPI

Hyde Park Choice Chiropractic Inc

  • Chiropractor
  • Mattapan, MA
National Provider Identifier
1609073568
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
322 Issued in MA
Legal business name
HYDE PARK CHOICE CHIROPRACTIC INC
Practice address
1551 Blue Hill Ave
Mattapan, MA 02126-2122
Phone
(617) 298-3200
Fax
(617) 298-3233
NPI assigned
Jul 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Mr. Eugene Emmanuel
Title
Ceo/Owner
Phone
(617) 298-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 322 MA Primary

Addresses

Primary practice location

1551 Blue Hill Ave
Mattapan, MA 02126-2122

Mailing address

1551 Blue Hill Ave
Mattapan, MA 02126-2122
Phone (617) 298-3200

National Provider Directory

National Provider Directory

Locations

1551 Blue Hill Ave
Mattapan, MA 02126
Phone (401) 569-9488

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1609073568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 BLUE HILL AVE",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021262122",
            "telephone_number": "617-298-3200",
            "fax_number": "617-298-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 BLUE HILL AVE",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021262122",
            "telephone_number": "617-298-3200",
            "fax_number": "617-298-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDE PARK CHOICE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "EMMANUEL",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "617-298-3200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattapan, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.