Active NPI
Healthsource of Auburn Inc
- Chiropractor
- Auburn, MA
National Provider Identifier
1659617314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3402
- Legal business name
- HEALTHSOURCE OF AUBURN INC
- Practice address
- 19 Midstate Dr
Auburn, MA 01501-1858 - Phone
- (508) 832-5050
- NPI assigned
- Dec 27, 2012
- 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. Richard A Mugavero, D.C.
- Title
- Chiropractor of Record
- Phone
- (978) 521-7111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3402 | MA | Primary |
Addresses
Primary practice location
19 Midstate Dr
Auburn, MA 01501-1858
Mailing address
19 Midstate Dr
Auburn, MA 01501-1858
Phone (508) 832-5050
National Provider Directory
National Provider DirectoryLocations
19 Midstate Dr
Auburn, MA 01501
Phone (508) 832-5050
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Derry, NH
- NPI 1730329483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1356566400000",
"number": "1659617314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 MIDSTATE DR",
"city": "AUBURN",
"state": "MA",
"postal_code": "015011858",
"telephone_number": "508-832-5050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 MIDSTATE DR",
"city": "AUBURN",
"state": "MA",
"postal_code": "015011858",
"telephone_number": "508-832-5050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHSOURCE OF AUBURN INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-27",
"last_updated": "2012-12-27",
"status": "A",
"authorized_official_last_name": "MUGAVERO",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CHIROPRACTOR OF RECORD",
"authorized_official_telephone_number": "978-521-7111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MA",
"license": "3402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.