Organization Active NPI

Adjust Yourself LLC

  • Chiropractor
  • Watertown, MA
National Provider Identifier
1932307774
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH962 Issued in MA
Legal business name
ADJUST YOURSELF LLC
Practice address
17 Spring St
1
Watertown, MA 02472-3411
Phone
(617) 926-9648
Fax
(617) 354-9723
NPI assigned
Jul 3, 2007
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. Thomas E Alden, D.C.NPI 1881892610
Title
Sole Member
Phone
(617) 926-9648

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 CH962 MA Primary

Addresses

Primary practice location

17 Spring St
1
Watertown, MA 02472-3411

Mailing address

PO Box 381283
Cambridge, MA 02238-1283
Phone (617) 926-9648

Other identifiers 1

IdentifierTypeStateIssuer
Y39941OtherMABLUE CROSS BLUE SHIELD MA

National Provider Directory

National Provider Directory

Locations

17 Spring St
#1
Watertown, MA 02472
Phone (617) 926-9648

Practitioners & affiliated clinicians

Practitioners 1

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": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932307774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381283",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "022381283",
            "telephone_number": "617-926-9648",
            "fax_number": "617-354-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 SPRING ST",
            "address_2": "1",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024723411",
            "telephone_number": "617-926-9648",
            "fax_number": "617-354-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADJUST YOURSELF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALDEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "617-926-9648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "CH962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MA",
            "identifier": "Y39941",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, 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.