Active NPI
Maplewood Chiropractic PC
- Chiropractor
- Fall River, MA
National Provider Identifier
1619000411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1814
- Legal business name
- MAPLEWOOD CHIROPRACTIC PC
- Practice address
- 499 Stafford Rd
Fall River, MA 02721-2427 - Phone
- (508) 324-0100
- Fax
- (508) 679-1374
- NPI assigned
- Mar 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Judith R Luongo, DC
- Title
- President
- Phone
- (508) 324-1010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1814 | MA | Primary |
Addresses
Primary practice location
499 Stafford Rd
Fall River, MA 02721-2427
Mailing address
499 Stafford Rd
Fall River, MA 02721-2427
Phone (508) 324-0100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y36295 | Other | MA | BCBSMA |
| 290306 | Other | RI | BCBSRI |
| Y39829 | Other | MA | BCBSMA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223251200000",
"number": "1619000411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "499 STAFFORD RD",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027212427",
"telephone_number": "508-324-0100",
"fax_number": "508-679-1374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "499 STAFFORD RD",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027212427",
"telephone_number": "508-324-0100",
"fax_number": "508-679-1374"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAPLEWOOD CHIROPRACTIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-13",
"last_updated": "2008-10-06",
"status": "A",
"authorized_official_last_name": "LUONGO",
"authorized_official_first_name": "JUDITH",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-324-1010",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MA",
"license": "1814",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA",
"identifier": "Y36295",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSRI",
"identifier": "290306",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA",
"identifier": "Y39829",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.