Individual provider Active NPI

Jonathan Sisskind, D.C.

  • Chiropractor
  • Taunton, MA
National Provider Identifier
1902824584
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2149 Issued in MA
Practice address
63R Broadway
Taunton, MA 02780-3120
Phone
(508) 824-0303
Fax
(508) 824-7303
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2149 MA Primary

Addresses

Primary practice location

63R Broadway
Taunton, MA 02780-3120

Mailing address

63R Broadway
Taunton, MA 02780-3120
Phone (508) 824-0303

Other identifiers 11

IdentifierTypeStateIssuer
043379412OtherMAPRIVATE HEALTHCARE SYSTEM
002149OtherMATUFTS
1041613OtherMAAMERICAN SPECIALTY HEALTH
350424OtherMAHARVARD PILGRIM (HPHC)
4400722OtherMAUNITED HEALTH CARE
391886617OtherMATRIAD
646858OtherMAACN
Y36568OtherMABLUE CROSS/ BLUE SHIELD
HMO BLUEOtherMABC/BS HMO
1612514MedicaidMA
791400OtherMAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2149MAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
People'S Best Care Chiropractic & Rehabilitation Inc. Chiropractor PastSince Nov 2, 2016 Accepting new patients
People'S Best Care Chiropractic and Rehabilitation Plus Chiropractor Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1902824584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63R BROADWAY",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803120",
            "telephone_number": "508-824-0303",
            "fax_number": "508-824-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63R BROADWAY",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803120",
            "telephone_number": "508-824-0303",
            "fax_number": "508-824-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISSKIND",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTHCARE SYSTEM",
            "identifier": "043379412",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "002149",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPECIALTY HEALTH",
            "identifier": "1041613",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM (HPHC)",
            "identifier": "350424",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "4400722",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIAD",
            "identifier": "391886617",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "646858",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "Y36568",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS  HMO",
            "identifier": "HMO BLUE",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1612514",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "791400",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.