Organization Active NPI

Seaside Chiropractic

  • Chiropractor
  • Somerville, MA
National Provider Identifier
1730374273
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SEASIDE CHIROPRACTIC
Practice address
259 Elm St
Suite 300
Somerville, MA 02144-2950
Phone
(617) 591-9200
NPI assigned
Sep 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Authorized official

Name
Mary Magauran, DCNPI 1780743203
Title
Chiropractor
Phone
(617) 591-9200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

259 Elm St
Suite 300
Somerville, MA 02144-2950

Mailing address

15 Upcrest Rd
Brighton, MA 02135-1725
Phone (617) 591-9200

Other identifiers 1

IdentifierTypeStateIssuer
695486OtherTUFTS GRP PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

259 Elm St
Ste 300
Somerville, MA 02144
Phone (617) 591-9200

Practitioners & affiliated clinicians

Practitioners 1

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": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1730374273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 UPCREST RD",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021351725",
            "telephone_number": "617-591-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 ELM ST",
            "address_2": "SUITE 300",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442950",
            "telephone_number": "617-591-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "MAGAURAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "617-591-9200",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS GRP PROVIDER NUMBER",
            "identifier": "695486",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.