Mystic Valley Chiropractic Office, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

907 Issued in MA

Legal business name

MYSTIC VALLEY CHIROPRACTIC OFFICE, P.C.

Practice address

92 High St
Suite 41
Medford, MA 02155-3850

Phone

(781) 396-4226

NPI assigned

Dec 17, 2008

Last updated

Dec 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Wayne Girouard, D.C.

Title

Owner

Phone

(781) 396-4226

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1932345220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 HIGH ST",
            "address_2": "SUITE 41",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553850",
            "telephone_number": "781-396-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 HIGH ST",
            "address_2": "SUITE 41",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553850",
            "telephone_number": "781-396-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYSTIC VALLEY CHIROPRACTIC OFFICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "GIROUARD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-396-4226",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mwhlpho
• Anitra N Myers, LMHC
• John A Myers, M.D.
• Mystic Cardiology Associates Inc
• Mystic Medical Group, Inc.
• Mystic Valley Dermatology Associates, P.C.
• Mystic Valley Medical Associates Inc.
• Mystic Valley Orthodontics
• Mystick Women's Health, Inc.
• Saima Nabi, PT, MS

• Chiropractor in Medford, MA
• Providers in Medford, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.