Active NPI
Serene Chiropractic LLC
- Health Service Clinic/Center
- Worcester, MA
National Provider Identifier
1639949035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- SERENE CHIROPRACTIC LLC
- Practice address
- 102 Shore Dr Ste 104
Worcester, MA 01605-3154 - Phone
- (508) 925-0056
- Fax
- (339) 216-9831
- NPI assigned
- Jan 5, 2024
- 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. Serena V Heard, DC
- Title
- Chiropractor
- Phone
- (518) 810-2952
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
102 Shore Dr Ste 104
Worcester, MA 01605-3154
Mailing address
102 Shore Dr Ste 104
Worcester, MA 01605-3154
Phone (518) 810-2952
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Worcester, MA
- NPI 1386147783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704412800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704844800000",
"number": "1639949035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 SHORE DR STE 104",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016053154",
"telephone_number": "518-810-2952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 SHORE DR STE 104",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016053154",
"telephone_number": "508-925-0056",
"fax_number": "339-216-9831"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENE CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-05",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A",
"authorized_official_last_name": "HEARD",
"authorized_official_first_name": "SERENA",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "518-810-2952",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.