Active NPI
Eugene Leslie Packer, D.C.
- Chiropractor
- North Easton, MA
National Provider Identifier
1619032372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 348
- Practice address
- 111 Washington St
North Easton, MA 02356-1127 - Phone
- (508) 238-0183
- Fax
- (508) 238-3885
- NPI assigned
- Dec 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 348 | MA | Primary |
Addresses
Primary practice location
111 Washington St
North Easton, MA 02356-1127
Mailing address
111 Washington St
PO Box 369
North Easton, MA 02356-1127
Phone (508) 238-0183
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y35052 | Other | MA | BLUE CROSS & BLUE SHIELD |
| Y39363 | Other | MA | BLUE CROSS & BLUE SHIELD |
| AA135580 | Other | MA | HARVARD PILIGRIM |
| 711961 | Other | MA | TUFTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 348 | MA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296086400000",
"number": "1619032372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 WASHINGTON ST",
"address_2": "PO BOX 369",
"city": "NORTH EASTON",
"state": "MA",
"postal_code": "023561127",
"telephone_number": "508-238-0183",
"fax_number": "508-238-3885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 WASHINGTON ST",
"city": "NORTH EASTON",
"state": "MA",
"postal_code": "023561127",
"telephone_number": "508-238-0183",
"fax_number": "508-238-3885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACKER",
"first_name": "EUGENE",
"middle_name": "LESLIE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-23",
"last_updated": "2011-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "348",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "Y35052",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "Y39363",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILIGRIM",
"identifier": "AA135580",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "711961",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Easton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.