Organization Active NPI

Spine Inc

  • Chiropractor
  • Arlington, MA
National Provider Identifier
1841623253
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
525 Issued in MA
Legal business name
SPINE INC
Practice address
9 Chestnut St
Arlington, MA 02474-1225
Phone
(781) 646-8400
Fax
(781) 646-9325
NPI assigned
Aug 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Authorized official

Name
Dr. N Richard Archambault, DCNPI 1376682617
Title
President
Phone
(781) 646-8400

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 525 MA Primary

Addresses

Primary practice location

9 Chestnut St
Arlington, MA 02474-1225

Mailing address

9 Chestnut St
Arlington, MA 02474-1225
Phone (781) 646-8400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140430002295 MA Part B Supplier - Clinic/Group Practice 0941433791 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, MA

National Provider Directory

National Provider Directory

Locations

9 Chestnut St
Arlington, MA 02474
Phone (617) 653-8064

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": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1841623253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CHESTNUT ST",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024741225",
            "telephone_number": "781-646-8400",
            "fax_number": "781-646-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CHESTNUT ST",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024741225",
            "telephone_number": "781-646-8400",
            "fax_number": "781-646-9325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "ARCHAMBAULT",
        "authorized_official_first_name": "N",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-646-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.