Caleb Ultimo, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3095 Issued in MA

Practice address

263 Main St
Brockton, MA 02301-5325

Phone

(508) 588-7100

Fax

(508) 588-7101

NPI assigned

Feb 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229904000000",
    "number": "1679600100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 RUSSELL RD",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022951",
            "telephone_number": "508-586-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 MAIN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015325",
            "telephone_number": "508-588-7100",
            "fax_number": "508-588-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULTIMO",
        "first_name": "CALEB",
        "name_prefix": "Mr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7753977",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y37176",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Uhun Ro Lee M.D P.C
• Christiana Ujialele, NP
• Jennifer Lynn Ulicny, CRNA
• Ultimate Health Center LLC
• Ultimate Psyche Services Inc
• Judith Ultimo, RN
• Ultracare, P.C.
• Ultracare, P.C.
• Ultracare, P.C.
• Unicorn Counseling Services

• Chiropractor in Brockton, MA
• Providers in Brockton, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; 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.