Organization Active NPI

Wellspace Associates, P.C - Central Square

  • Chiropractor
  • Cambridge, MA
National Provider Identifier
1710194493
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2711 Issued in MA
Legal business name
WELLSPACE ASSOCIATES, P.C - CENTRAL SQUARE
Practice address
585 Massachusetts Ave
Suite #4
Cambridge, MA 02139-4030
Phone
(617) 547-0335
Fax
(617) 547-0779
NPI assigned
May 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Dr. Robert Nicholas Kum, D.C
Title
Director of Chiropractic Services
Phone
(617) 876-2660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2711 MA Primary

Addresses

Primary practice location

585 Massachusetts Ave
Suite #4
Cambridge, MA 02139-4030

Mailing address

PO Box 400985
Wellspace Associates - Chiropractic Department
Cambridge, MA 02140-0010
Phone (617) 876-2660

National Provider Directory

National Provider Directory
Tax ID family
Wellspace Associates PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

585 Massachusetts Ave
Ste 4
Cambridge, MA 02139
Phone (617) 547-0335

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710194493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400985",
            "address_2": "WELLSPACE ASSOCIATES - CHIROPRACTIC DEPARTMENT",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021400010",
            "telephone_number": "617-876-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 MASSACHUSETTS AVE",
            "address_2": "SUITE #4",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021394030",
            "telephone_number": "617-547-0335",
            "fax_number": "617-547-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPACE ASSOCIATES, P.C - CENTRAL SQUARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "DIRECTOR OF CHIROPRACTIC SERVICES",
        "authorized_official_telephone_number": "617-876-2660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, 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.