Individual provider Active NPI

Thomas E Pierce, D.C.

  • Chiropractor
  • South Boston, MA
National Provider Identifier
1790906808
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1640 Issued in MA
Practice address
379 West Broadway
South Boston, MA 02127-2217
Phone
(617) 752-4138
Fax
(617) 752-4127
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1640 MA Primary

Addresses

Primary practice location

379 West Broadway
South Boston, MA 02127-2217

Mailing address

377-379 West Broadway
South Boston, MA 02127-2217
Phone (617) 752-4138

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1640MAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Scialla DPT, PLLC CurrentSince May 16, 2021 Accepting new patients
Thomas Pierce DC PLLC Chiropractor CurrentSince May 16, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1790906808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377-379 WEST BROADWAY",
            "city": "SOUTH BOSTON",
            "state": "MA",
            "postal_code": "021272217",
            "telephone_number": "617-752-4138",
            "fax_number": "617-752-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 WEST BROADWAY",
            "city": "SOUTH BOSTON",
            "state": "MA",
            "postal_code": "021272217",
            "telephone_number": "617-752-4138",
            "fax_number": "617-752-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "THOMAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.