NPIMap

Organization Active NPI

Charles Street Family Chiropractic, Inc.

  • Chiropractor
  • Boston, MA
National Provider Identifier
1730457045
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1537 Issued in MA
Legal business name
CHARLES STREET FAMILY CHIROPRACTIC, INC.
Practice address
102 Charles St
Boston, MA 02114-4607
Phone
(617) 720-1992
Fax
(617) 248-9916
NPI assigned
Dec 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Authorized official

Name
Dr. Christopher Quigley, DCNPI 1609809573
Title
Director
Phone
(617) 720-1992

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 1537 MA Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 702 MA
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 18287 MA

Addresses

Primary practice location

102 Charles St
Boston, MA 02114-4607

Mailing address

102 Charles St
Boston, MA 02114-4607
Phone (617) 720-1992

Other identifiers 1

IdentifierTypeStateIssuer
M21857OtherMEDICARE GROUP ID

National Provider Directory

National Provider Directory
Tax ID family
Charles Street Family Chiropractic Inc2 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

102 Charles St
Boston, MA 02114
Phone (617) 720-1992

Practitioners & affiliated clinicians

Practitioners 2

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": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1730457045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 CHARLES ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021144607",
            "telephone_number": "617-720-1992",
            "fax_number": "617-248-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CHARLES ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021144607",
            "telephone_number": "617-720-1992",
            "fax_number": "617-248-9916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES STREET FAMILY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "QUIGLEY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-720-1992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1537",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "702",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "18287",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID",
            "identifier": "M21857",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.