Organization Active NPI

Canton Dale Chiropractic, Inc.

  • Chiropractor
  • Canton, MA
National Provider Identifier
1841516796
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3103 Issued in MA
Legal business name
CANTON DALE CHIROPRACTIC, INC.
Practice address
960 Turnpike St Ste 1C
Canton, MA 02021-2851
Phone
(781) 821-0072
NPI assigned
Apr 18, 2010
Last updated
Aug 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Authorized official

Name
Kristen N Favreau, DCNPI 1831239987
Title
Owner
Phone
(781) 821-0072

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 3103 MA Primary

Addresses

Primary practice location

960 Turnpike St Ste 1C
Canton, MA 02021-2851

Mailing address

960 Turnpike St Ste 1C
Canton, MA 02021-2851
Phone (781) 821-0072

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100820000370 MA Part B Supplier - Clinic/Group Practice 7113051582 Receives reassigned benefits from 2 practitioners
Practice locations: Canton, MA

National Provider Directory

National Provider Directory

Locations

351 Turnpike St
Canton, MA 02021
Phone (781) 821-0072

Practitioners & affiliated clinicians

Practitioners 2

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": "1271548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1841516796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 TURNPIKE ST STE 1C",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212851",
            "telephone_number": "781-821-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 TURNPIKE ST STE 1C",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212851",
            "telephone_number": "781-821-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON DALE CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-18",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "FAVREAU",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-821-0072",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.