Active NPI
Diane Louise Sofia, DC
- Chiropractor
- Medford, MA
National Provider Identifier
1801972278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2055
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y36578 | Other | MA | BC & BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2055 | MA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newton Center Chiropractic | Chiropractor | Current | 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.
-
- Chiropractor
- Newton Center, MA
- NPI 1871301762
-
- Chiropractor
- Medford, MA
- NPI 1093836074
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.