Organization Active NPI

Maplewood Chiropractic PC

  • Chiropractor
  • Fall River, MA
National Provider Identifier
1619000411
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1814 Issued in MA
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

Updated by the provider on Oct 6, 2008

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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
Y36295OtherMABCBSMA
290306OtherRIBCBSRI
Y39829OtherMABCBSMA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.