Active NPI
Great Marsh Chiropractic Clinic Inc
- Chiropractor
- West Barnstable, MA
National Provider Identifier
1821197328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 419
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y39017 | Other | MA | BCBS OF MA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Marstons Mills, MA
- NPI 1356487573
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.