Middleboro Gudmundsson Chiropractic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MIDDLEBORO GUDMUNDSSON CHIROPRACTIC INC.

Doing business as

Gudmundsson Chiropractic

Practice address

63 Anderson Ave Ste a
Middleboro, MA 02346-1537

Phone

(508) 947-1411

Fax

(508) 946-4413

NPI assigned

Nov 4, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Raimand Khairallah, D.C.NPI 1043372832

Title

Owner

Phone

(508) 947-1411

Specialties & licenses 1

Addresses

Other names 1

• Gudmundsson Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

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

• Raimand F Khairallah, D.C.

  • Chiropractor
  • Middleboro, MA
  • NPI 1043372832
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572825600000",
    "number": "1760026645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 ANDERSON AVE STE A",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023461537",
            "telephone_number": "508-947-1411",
            "fax_number": "508-946-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 ANDERSON AVE STE A",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023461537",
            "telephone_number": "508-947-1411",
            "fax_number": "508-946-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLEBORO GUDMUNDSSON CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A",
        "authorized_official_last_name": "KHAIRALLAH",
        "authorized_official_first_name": "RAIMAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-947-1411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gudmundsson Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Mello, MSN, RN
• Kaitlin Mendes, LCSW
• Peter Tait Messier, DDS
• Michael C. Randon, MD
• Middleboro Family Dental Inc
• Middleboro Oral Surgeons, PC
• Middleborough Chiropractic Inc.
• Middleborough Public Schools
• Middleborough SNF Operations LLC
• Sarah Lynn Miles, L.I.C.S.W.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.