Active NPI
Dennis Michael Coakley, D.C., LIC. AC
- Chiropractor
- Medway, MA
National Provider Identifier
1780766121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 877
- Practice address
- 9 Evergreen St
Medway, MA 02053-1515 - Phone
- (508) 533-6794
- Fax
- (508) 533-6757
- NPI assigned
- Oct 19, 2006
- Last updated
- Apr 1, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 877 | MA | Primary |
| Acupuncturist | 171100000X | 226570 | MA |
Addresses
Primary practice location
9 Evergreen St
Medway, MA 02053-1515
Mailing address
9 Evergreen St
Medway, MA 02053-1515
Phone (508) 533-6794
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 877 | MA | MD | Clinical Psychologist |
| 226570 | MA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coakley Chiropractic & Acupuncture | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396310400000",
"number": "1780766121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 EVERGREEN ST",
"city": "MEDWAY",
"state": "MA",
"postal_code": "020531515",
"telephone_number": "508-533-6794",
"fax_number": "508-533-6757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 EVERGREEN ST",
"city": "MEDWAY",
"state": "MA",
"postal_code": "020531515",
"telephone_number": "508-533-6794",
"fax_number": "508-533-6757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COAKLEY",
"first_name": "DENNIS",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C., LIC. AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2014-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "877",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MA",
"license": "226570",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medway, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.