Organization Active NPI

Eric Diener Inc.

Doing business as Bay State Chiropractic

  • Chiropractor
  • Weymouth, MA
National Provider Identifier
1760481345
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2162 Issued in MA
Legal business name
ERIC DIENER INC.
Doing business as
Bay State Chiropractic
Practice address
995 Washington St
Weymouth, MA 02189-1928
Phone
(781) 337-7777
Fax
(781) 337-2803
NPI assigned
Jul 18, 2005
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. Eric Robert Diener, D.C.NPI 1831383926
Title
Owner/Doctor
Phone
(781) 337-7777

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
Chiropractor 111N00000X 2162 MA Primary

Addresses

Primary practice location

995 Washington St
Weymouth, MA 02189-1928

Mailing address

995 Washington St
Weymouth, MA 02189-1928
Phone (781) 337-7777

Other identifiers 1

IdentifierTypeStateIssuer
Y39596OtherBCBS

Other names 1

  • Bay State Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160929002097 MA Part B Supplier - Clinic/Group Practice 3274820527 Receives reassigned benefits from 1 practitioner
Practice locations: Weymouth, MA

National Provider Directory

National Provider Directory

Locations

995 Washington St
Weymouth, MA 02189
Phone (781) 337-7777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760481345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 WASHINGTON ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021891928",
            "telephone_number": "781-337-7777",
            "fax_number": "781-337-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 WASHINGTON ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021891928",
            "telephone_number": "781-337-7777",
            "fax_number": "781-337-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC DIENER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIENER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "781-337-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y39596",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay State Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weymouth, 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.
  • 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.