Organization Active NPI

Ray of Light Chiropractic, PC

  • Chiropractor
  • Topsfield, MA
National Provider Identifier
1841350253
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH2330 Issued in MA
Legal business name
RAY OF LIGHT CHIROPRACTIC, PC
Practice address
239 Boston St
Suite 212/214
Topsfield, MA 01983-2215
Phone
(978) 887-9889
Fax
(978) 359-6023
NPI assigned
Dec 8, 2006
Last updated
Sep 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Authorized official

Name
Ms. Laura Virginia Godfrey, DCNPI 1902857394
Title
Owner
Phone
(978) 887-9889

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
Chiropractor 111N00000X CH2330 MA Primary

Addresses

Primary practice location

239 Boston St
Suite 212/214
Topsfield, MA 01983-2215

Mailing address

239 Boston St
Suite 212/214
Topsfield, MA 01983-2215
Phone (978) 887-9889

Other identifiers 3

IdentifierTypeStateIssuer
1902857394OtherMAIND NPI #
Y6736OtherMABC BS INDV ID #
Y39382OtherMABC BS GROUP ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081015000767 MA Part B Supplier - Clinic/Group Practice 3577621853 Receives reassigned benefits from 1 practitioner
Practice locations: Topsfield, MA

National Provider Directory

National Provider Directory

Locations

239 Boston St
#212214
Topsfield, MA 01983
Phone (978) 887-9889

239 Boston St
Ste 212214
Topsfield, MA 01983
Phone (978) 887-9889

414 Old Boston Rd
Lowr
Topsfield, MA 01983

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1841350253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 BOSTON ST",
            "address_2": "SUITE 212/214",
            "city": "TOPSFIELD",
            "state": "MA",
            "postal_code": "019832215",
            "telephone_number": "978-887-9889",
            "fax_number": "978-359-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 BOSTON ST",
            "address_2": "SUITE 212/214",
            "city": "TOPSFIELD",
            "state": "MA",
            "postal_code": "019832215",
            "telephone_number": "978-887-9889",
            "fax_number": "978-359-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY OF LIGHT CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "GODFREY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "VIRGINIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-887-9889",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "CH2330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND NPI #",
            "identifier": "1902857394",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS INDV ID #",
            "identifier": "Y6736",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS GROUP ID",
            "identifier": "Y39382",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.