Organization Active NPI

Hyde Park Chiropractic Corp

  • Sports Physician Chiropractor
  • Hyde Park, MA
National Provider Identifier
1770923252
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
2054 Issued in MA
Legal business name
HYDE PARK CHIROPRACTIC CORP
Practice address
891 Hyde Park Ave
Hyde Park, MA 02136-3267
Phone
(617) 364-3300
Fax
(617) 364-3303
NPI assigned
Jun 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Authorized official

Name
Dr. John David Swift, DC
Title
Owner
Phone
(617) 364-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 2054 MA Primary

Addresses

Primary practice location

891 Hyde Park Ave
Hyde Park, MA 02136-3267

Mailing address

891 Hyde Park Ave
Hyde Park, MA 02136
Phone (617) 364-3300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1770923252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 HYDE PARK AVE",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "02136",
            "telephone_number": "617-364-3300",
            "fax_number": "617-364-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 HYDE PARK AVE",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021363267",
            "telephone_number": "617-364-3300",
            "fax_number": "617-364-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDE PARK CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "SWIFT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-364-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "MA",
            "license": "2054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyde Park, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.