Organization Active NPI

Newton Highlands Chiropractic

  • Chiropractor
  • Newton, MA
National Provider Identifier
1881806495
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1322 Issued in MA
Legal business name
NEWTON HIGHLANDS CHIROPRACTIC
Practice address
1157 Walnut St
Newton, MA 02461-1242
Phone
(617) 527-2887
Fax
(617) 527-4773
NPI assigned
May 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert Nicholas Staulo, DC
Title
Doctor of Chiropractic
Phone
(617) 527-2887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1322 MA Primary

Addresses

Primary practice location

1157 Walnut St
Newton, MA 02461-1242

Mailing address

1157 Walnut St
Newton, MA 02461-1242
Phone (617) 527-2887

Other identifiers 4

IdentifierTypeStateIssuer
351198OtherMAHARVARD HEALTH
720304OtherMATUFTS
8300299OtherMACIGNA
Y35942OtherMABCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881806495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 WALNUT ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024611242",
            "telephone_number": "617-527-2887",
            "fax_number": "617-527-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 WALNUT ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024611242",
            "telephone_number": "617-527-2887",
            "fax_number": "617-527-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWTON HIGHLANDS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STAULO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "617-527-2887",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD HEALTH",
            "identifier": "351198",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "720304",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8300299",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y35942",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.