Organization Active NPI

Bay Chiropractic, P.C.

  • Sports Physician Chiropractor
  • Taunton, MA
National Provider Identifier
1801917901
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
1204 Issued in MA
Legal business name
BAY CHIROPRACTIC, P.C.
Practice address
20 Main St
Taunton, MA 02780-2733
Phone
(508) 880-1556
Fax
(508) 880-0491
NPI assigned
Apr 3, 2007
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
Cristina Rosa Ivaldi, D.C., C.C.S.P.NPI 1558482166
Title
President & Owner
Phone
(508) 880-1556

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
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 1204 MA Primary

Addresses

Primary practice location

20 Main St
Taunton, MA 02780-2733

Mailing address

20 Main St
Taunton, MA 02780-2733
Phone (508) 880-1556

Other identifiers 7

IdentifierTypeStateIssuer
0736083OtherMAAETNA
Y39332OtherMABLUE CROSS & BLUE SHIELD
715095OtherMATUFTS
210894OtherMAANC GROUP
233602OtherRIBLUE CROSS & BLUE SHIELD
4400119OtherMAUNITED HEALTHCARE
351132OtherMAHARVARD PILGRIM

National Provider Directory

National Provider Directory

Locations

20 Main St
Taunton, MA 02780
Phone (508) 880-1556

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801917901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MAIN ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027802733",
            "telephone_number": "508-880-1556",
            "fax_number": "508-880-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MAIN ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027802733",
            "telephone_number": "508-880-1556",
            "fax_number": "508-880-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IVALDI",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_middle_name": "ROSA",
        "authorized_official_title_or_position": "PRESIDENT & OWNER",
        "authorized_official_telephone_number": "508-880-1556",
        "authorized_official_credential": "D.C., C.C.S.P."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "MA",
            "license": "1204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0736083",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "Y39332",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "715095",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANC GROUP",
            "identifier": "210894",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "233602",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "4400119",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "351132",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.