Active NPI
Newton Highlands Chiropractic
- Chiropractor
- Newton, MA
National Provider Identifier
1881806495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1322
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 351198 | Other | MA | HARVARD HEALTH |
| 720304 | Other | MA | TUFTS |
| 8300299 | Other | MA | CIGNA |
| Y35942 | Other | MA | BCBS |
National Provider Directory
National Provider DirectoryNPI 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.