Organization Active NPI

Great Marsh Chiropractic Clinic Inc

  • Chiropractor
  • West Barnstable, MA
National Provider Identifier
1821197328
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
419 Issued in MA
Legal business name
GREAT MARSH CHIROPRACTIC CLINIC INC
Practice address
1049 Main St
West Barnstable, MA 02668-1152
Phone
(508) 362-4533
Fax
(508) 362-5151
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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

Authorized official

Name
Dr. John C Doriss, DC
Title
Owner/President
Phone
(508) 362-4533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 419 MA Primary

Addresses

Primary practice location

1049 Main St
West Barnstable, MA 02668-1152

Mailing address

PO Box 122
West Barnstable, MA 02668-0122
Phone (508) 362-4533

Other identifiers 1

IdentifierTypeStateIssuer
Y39017OtherMABCBS OF MA

National Provider Directory

National Provider Directory

Locations

1049 Main St
West Barnstable, MA 02668
Phone (508) 362-4533

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1821197328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122",
            "city": "WEST BARNSTABLE",
            "state": "MA",
            "postal_code": "026680122",
            "telephone_number": "508-362-4533",
            "fax_number": "508-362-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 MAIN ST",
            "city": "WEST BARNSTABLE",
            "state": "MA",
            "postal_code": "026681152",
            "telephone_number": "508-362-4533",
            "fax_number": "508-362-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT MARSH CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "DORISS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "508-362-4533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA",
            "identifier": "Y39017",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Barnstable, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; 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.