Active NPI
Kintish Chiropractic Office Inc.
- Chiropractor
- Beverly, MA
National Provider Identifier
1790931392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1147
- Legal business name
- KINTISH CHIROPRACTIC OFFICE INC.
- Practice address
- 58 Dodge Street
Beverly, MA 01915 - Phone
- (978) 922-0127
- Fax
- (978) 922-7276
- NPI assigned
- Aug 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey G. Kintish, DC
- Title
- Owner
- Phone
- (978) 922-0127
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1147 | MA | Primary |
Addresses
Primary practice location
58 Dodge Street
Beverly, MA 01915
Mailing address
58 Dodge Street
Beverly, MA 01915
Phone (978) 922-0127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081117000465 | MA | Part B Supplier - Clinic/Group Practice | 8628138930 |
Receives reassigned benefits from 1 practitioner Practice locations: Beverly, MA |
National Provider Directory
National Provider DirectoryPractitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Beverly, MA
- NPI 1225025521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218672000000",
"number": "1790931392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 DODGE STREET",
"city": "BEVERLY",
"state": "MA",
"postal_code": "01915",
"telephone_number": "978-922-0127",
"fax_number": "978-922-7276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 DODGE STREET",
"city": "BEVERLY",
"state": "MA",
"postal_code": "01915",
"telephone_number": "978-922-0127",
"fax_number": "978-922-7276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINTISH CHIROPRACTIC OFFICE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-14",
"last_updated": "2008-08-14",
"status": "A",
"authorized_official_last_name": "KINTISH",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "978-922-0127",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MA",
"license": "1147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.