NPIMap

Organization Active NPI

Union Chiropractic Clinic LLC

  • Chiropractor
  • Hyde Park, MA
National Provider Identifier
1891142378
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
675 Issued in MA
Legal business name
UNION CHIROPRACTIC CLINIC LLC
Practice address
1242 River St
Hyde Park, MA 02136-2833
Phone
(617) 364-0500
Fax
(617) 364-0800
NPI assigned
May 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Authorized official

Name
Boris Sapozhnikov
Title
Manager
Phone
(617) 364-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 675 MA Primary

Addresses

Primary practice location

1242 River St
Hyde Park, MA 02136-2833

Mailing address

1242 River St
Hyde Park, MA 02136-2833
Phone (617) 364-0500

National Provider Directory

National Provider Directory

Locations

1242 River St
Hyde Park, MA 02136
Phone (617) 364-0500

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1891142378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 RIVER ST",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021362833",
            "telephone_number": "617-364-0500",
            "fax_number": "617-364-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242 RIVER ST",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021362833",
            "telephone_number": "617-364-0500",
            "fax_number": "617-364-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "SAPOZHNIKOV",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-364-0500"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyde Park, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.