Dark Horse, Incor.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

194 Issued in MA

Legal business name

DARK HORSE, INCOR.

Doing business as

Broadway Chiropractic

Practice address

176 Broadway
Somerville, MA 02145-3129

Phone

(617) 776-7576

Fax

(671) 776-4930

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Mr. William M Adams

Title

President

Phone

(617) 287-2711

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BROADWAY CHIROPRACTIC Doing business as

Practitioners 1

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

• Andrew M Kulick, D.C.

  • Sports Physician Chiropractor
  • Somerville, MA
  • NPI 1154487734
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699820852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 BROADWAY",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021453129",
            "telephone_number": "617-776-7576",
            "fax_number": "671-776-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 BROADWAY",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021453129",
            "telephone_number": "617-776-7576",
            "fax_number": "671-776-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARK HORSE, INCOR.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-287-2711",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC & BS",
            "identifier": "Y39216",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROADWAY CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dana Ellsmore
• Daniel Bolton, LMHC LLC
• Claretta Daniels
• Peter Daniolos, MD
• Erica Kayla Danis, MS, CCC-SLP
• Mohammad Hossein Dashti, DMD
• Duleclino M Dasilva, LMHC
• Irida Dautaj, D.M.D.
• David Menon Corporation
• Rachel Davidow

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

• 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.