Organization Active NPI

Soapy C Enterprises LLC

  • Chiropractor
  • Roxbury, MA
National Provider Identifier
1669671871
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3011 Issued in MA
Legal business name
SOAPY C ENTERPRISES LLC
Doing business as
Boston Community Chiropractic
Practice address
190 Dudley
Roxbury, MA 02119
Phone
(617) 442-8600
Fax
(617) 442-8655
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Edmond Prawl
Title
Owner President
Phone
(617) 442-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 3011 MA Primary

Addresses

Primary practice location

190 Dudley
Roxbury, MA 02119

Mailing address

190 Dudley
Roxbury, MA 02119
Phone (617) 442-8600

Other names 1

  • Boston Community Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

114 Washington St
#C
Dorchester, MA 02121

4270 Washington St
Roslindale, MA 02131
Phone (617) 327-7703

190 Dudley St
Roxbury, MA 02119
Phone (617) 442-8600

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669671871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 DUDLEY",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "02119",
            "telephone_number": "617-442-8600",
            "fax_number": "617-442-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 DUDLEY",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "02119",
            "telephone_number": "617-442-8600",
            "fax_number": "617-442-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOAPY C ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRAWL",
        "authorized_official_first_name": "EDMOND",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "617-442-8600"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boston Community Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.