Organization Active NPI

Wellspace Associates, PC

  • Chiropractor
  • Cambridge, MA
National Provider Identifier
1932142965
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2711 Issued in MA
Legal business name
WELLSPACE ASSOCIATES, PC
Practice address
1 New St
Fresh Pond Mall
Cambridge, MA 02138-1222
Phone
(617) 876-2660
Fax
(617) 451-5552
NPI assigned
Jun 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert N Kum, D.C.NPI 1194788604
Title
Team Leader Chiropractic Services
Phone
(617) 876-2660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2711 MA Primary

Addresses

Primary practice location

1 New St
Fresh Pond Mall
Cambridge, MA 02138-1222

Mailing address

1 New St
Fresh Pond Mall
Cambridge, MA 02138-1222
Phone (617) 876-2660

National Provider Directory

National Provider Directory
Tax ID family
Wellspace Associates PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1 New St
Cambridge, MA 02138
Phone (617) 876-2660

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932142965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NEW ST",
            "address_2": "FRESH POND MALL",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381222",
            "telephone_number": "617-876-2660",
            "fax_number": "617-451-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NEW ST",
            "address_2": "FRESH POND MALL",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381222",
            "telephone_number": "617-876-2660",
            "fax_number": "617-451-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPACE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "TEAM LEADER CHIROPRACTIC SERVICES",
        "authorized_official_telephone_number": "617-876-2660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, 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.

Verify at the official NPI Registry.