Organization Active NPI

CKT Chiropratic and Wellness Center Inc

  • Chiropractor
  • Dorchester, MA
National Provider Identifier
1912338039
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH2051 Issued in MA
Legal business name
CKT CHIROPRATIC AND WELLNESS CENTER INC
Practice address
119 Neponset Ave
Dorchester, MA 02122-3323
Phone
(857) 222-8910
NPI assigned
Nov 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Authorized official

Name
Phuong Huynh
Title
President
Phone
(857) 222-8910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH2051 MA Primary

Addresses

Primary practice location

119 Neponset Ave
Dorchester, MA 02122-3323

Mailing address

18 S Walnut St
Quincy, MA 02169-6824
Phone (857) 222-8910

National Provider Directory

National Provider Directory

Locations

119 Neponset Ave
Dorchester, MA 02122
Phone (617) 326-6025

NPI Registry JSON

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

{
    "created_epoch": "1385769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1912338039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 S WALNUT ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021696824",
            "telephone_number": "857-222-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 NEPONSET AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021223323",
            "telephone_number": "857-222-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CKT CHIROPRATIC AND WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-30",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "PHUONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "857-222-8910"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "CH2051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.