NPIMap

Organization Active NPI

Sturbridge Family Chiropractic PC

  • Chiropractor
  • Fiskdale, MA
National Provider Identifier
1629313903
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
STURBRIDGE FAMILY CHIROPRACTIC PC
Practice address
464 Main St
Fiskdale, MA 01518-1290
Phone
(508) 347-3834
NPI assigned
Nov 28, 2012
Last updated
May 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Authorized official

Name
Mrs. Jennifer M Connors, DCNPI 1003093089
Title
Owner
Phone
(508) 347-3834

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

464 Main St
Fiskdale, MA 01518-1290

Mailing address

PO Box 659
Fiskdale, MA 01518-0659
Phone (508) 347-3834

National Provider Directory

National Provider Directory

Locations

464 Main St
Fiskdale, MA 01518
Phone (508) 347-3834

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1629313903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 659",
            "city": "FISKDALE",
            "state": "MA",
            "postal_code": "015180659",
            "telephone_number": "508-347-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 MAIN ST",
            "city": "FISKDALE",
            "state": "MA",
            "postal_code": "015181290",
            "telephone_number": "508-347-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STURBRIDGE FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-28",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "CONNORS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-347-3834",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fiskdale, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; 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.