Thomas H Gorman DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

964 Issued in MA

Legal business name

THOMAS H GORMAN DC PC

Doing business as

Watertown Back Care

Practice address

440 Arsenal St
Watertown, MA 02472-2898

Phone

(617) 926-0202

Fax

(617) 926-5430

NPI assigned

Dec 16, 2005

Organization subpart

No

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

Authorized official

Name

Thomas H Gorman, DC

Title

Owner

Phone

(617) 926-0202

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Watertown Back Care Doing business as

Locations

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1699751149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 ARSENAL ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722898",
            "telephone_number": "617-926-0202",
            "fax_number": "617-926-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 ARSENAL ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722898",
            "telephone_number": "617-926-0202",
            "fax_number": "617-926-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS H GORMAN DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-926-0202",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "351126",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "763508",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9781617",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y39195",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Watertown Back Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.