In Line Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3003 Issued in MA

Legal business name

IN LINE CHIROPRACTIC, LLC

Practice address

113 Main St
Unite #5
Sturbridge, MA 01566-1556

Phone

(508) 347-3033

Fax

(508) 347-3033

NPI assigned

Jul 4, 2006

Last updated

Mar 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dan L. Macumber, D.C.NPI 1619913886

Title

Owner

Phone

(508) 347-3033

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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.

• Dan Leo Macumber, D.C.

  • Chiropractor
  • Sturbridge, MA
  • NPI 1619913886
  Authorized official Same address or phone

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1851321665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 HILLSIDE DR",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661536",
            "telephone_number": "508-347-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 MAIN ST",
            "address_2": "UNITE #5",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661556",
            "telephone_number": "508-347-3033",
            "fax_number": "508-347-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN LINE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "MACUMBER",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-347-3033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA76168",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9752820",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLU CROSS &BLUE SHIELD",
            "identifier": "Y40070",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Hibbard, RN
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• Rebecca L Hubbard, MSPT
• Kevin Hughes, BCBA
• Bianca Jackson
• Michael Charles Jedrzynski, DPM
• Jet Dental of Massachusetts
• Gary F Jeznach, MD
• Larry A Johnson, DDS

• Chiropractor in Sturbridge, MA
• Providers in Sturbridge, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.