Active NPI
Paul James Doherty, DC
- Chiropractor
- Abington, MA
National Provider Identifier
1861539082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1047
- Practice address
- 945 Bedford St
Abington, MA 02351-1202 - Phone
- (781) 878-2801
- Fax
- (781) 878-6115
- NPI assigned
- Jan 30, 2007
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1047 | MA | Primary |
Addresses
Primary practice location
945 Bedford St
Abington, MA 02351-1202
Mailing address
23 Niles St
Abington, MA 02351-2408
Phone (781) 878-2340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060424000351 | MA | Practitioner - Chiropractic | 7113937996 | Practice locations: Abington, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
945 Bedford St
Abington, MA 02351-1202
Phone (781) 878-2340
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1047 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1861539082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 NILES ST",
"city": "ABINGTON",
"state": "MA",
"postal_code": "023512408",
"telephone_number": "781-878-2340",
"fax_number": "781-878-6115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 BEDFORD ST",
"city": "ABINGTON",
"state": "MA",
"postal_code": "023511202",
"telephone_number": "781-878-2801",
"fax_number": "781-878-6115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOHERTY",
"first_name": "PAUL",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "1047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Abington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.