Individual provider Active NPI

Diane Louise Sofia, DC

  • Chiropractor
  • Medford, MA
National Provider Identifier
1801972278
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2055 Issued in MA
Practice address
314 Main St
Medford, MA 02155-6160
Phone
(781) 396-1070
NPI assigned
Oct 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2055 MA Primary

Addresses

Primary practice location

314 Main St
Medford, MA 02155-6160

Mailing address

PO Box 156
Merrimac, MA 01860-0156
Phone (978) 697-3781

Other identifiers 1

IdentifierTypeStateIssuer
Y36578OtherMABC & BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040331000975 MA Practitioner - Chiropractic 3173515111 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newton Center ChiropracticGroup PAC ID 9931622552, 3 clinicians

Practice addresses (Care Compare)

851 Beacon St
Newton Center, MA 02459-1822
Phone (617) 332-9080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2055MAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Center Chiropractic Chiropractor CurrentSince Mar 25, 2025 Accepting new patients

Locations

851 Beacon St
Newton Centre, MA 02459
Phone (617) 332-9080

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": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801972278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 156",
            "city": "MERRIMAC",
            "state": "MA",
            "postal_code": "018600156",
            "telephone_number": "978-697-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 MAIN ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021556160",
            "telephone_number": "781-396-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOFIA",
        "first_name": "DIANE",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC & BS",
            "identifier": "Y36578",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.