Active NPI
Alexis Mary Hrynko-Kouri, D.C.
- Chiropractor
- Centerville, MA
National Provider Identifier
1891914776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2702
- Practice address
- 619 Main St Ste 2
Centerville, MA 02632-2954 - Phone
- (774) 487-0631
- Fax
- (744) 704-5807
- NPI assigned
- Apr 25, 2007
- Last updated
- Apr 23, 2018
- Sex
- Female
- 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 | 2702 | MA | Primary |
Addresses
Primary practice location
619 Main St Ste 2
Centerville, MA 02632-2954
Mailing address
619 Main St Ste 2
Centerville, MA 02632-2954
Phone (774) 487-0631
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050120000507 | MA | Practitioner - Chiropractic | 1254380876 | Practice locations: Centerville, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
619 Main St
Suite 2
Centerville, MA 02632-2954
Phone (774) 487-0631
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2702 | MA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524441600000",
"number": "1891914776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 MAIN ST STE 2",
"city": "CENTERVILLE",
"state": "MA",
"postal_code": "026322954",
"telephone_number": "774-487-0631",
"fax_number": "744-704-5807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 MAIN ST STE 2",
"city": "CENTERVILLE",
"state": "MA",
"postal_code": "026322954",
"telephone_number": "774-487-0631",
"fax_number": "744-704-5807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HRYNKO-KOURI",
"first_name": "ALEXIS",
"middle_name": "MARY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2018-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "2702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.