Individual provider Active NPI

Shayne Fryia, DC

  • Chiropractor
  • Quincy, MA
National Provider Identifier
1871391425
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHI5123 Issued in MA
Practice address
25 School St Ste B2
Quincy, MA 02169-6665
Phone
(617) 689-0440
NPI assigned
Mar 7, 2025
Last updated
Mar 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHI5123 MA Primary

Addresses

Primary practice location

25 School St Ste B2
Quincy, MA 02169-6665

Mailing address

6 Mile Brook Rd Unit 211
Duxbury, MA 02332-2313

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250811001944 MA Practitioner - Chiropractic 9335647171 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHI5123MAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
J & M Pro P.C. Chiropractor CurrentSince Jul 9, 2025 Accepting new patients

Locations

25 School St
Ste B2
Quincy, MA 02169
Phone (617) 689-0440

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1871391425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MILE BROOK RD UNIT 211",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023322313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SCHOOL ST STE B2",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021696665",
            "telephone_number": "617-689-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYIA",
        "first_name": "SHAYNE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "CHI5123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.