Organization Active NPI

Pace Family Chiropractic PC

  • Chiropractor
  • Saugus, MA
National Provider Identifier
1942481270
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PACE FAMILY CHIROPRACTIC PC
Practice address
558 Lincoln Ave
Saugus, MA 01906-3850
Phone
(781) 231-3492
Fax
(781) 231-3493
NPI assigned
Nov 15, 2007
Last updated
Apr 26, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Authorized official

Name
Dr. Brian Joseph Pace, DCNPI 1134294580
Title
Chiropractor
Phone
(781) 231-3492

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 Primary

Addresses

Primary practice location

558 Lincoln Ave
Saugus, MA 01906-3850

Mailing address

558 Lincoln Ave
Saugus, MA 01906-3850
Phone (781) 231-3492

Other identifiers 1

IdentifierTypeStateIssuer
Y35734OtherMABLUE CROSS LEGACY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170501000056 MA Part B Supplier - Clinic/Group Practice 9537368303 Receives reassigned benefits from 1 practitioner
Practice locations: Saugus, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2075823Pace Family Chiropractic558 Lincoln Avenue, Saugus, MA 01906Certificate of waiverApr 6, 2028

National Provider Directory

National Provider Directory

Locations

558 Lincoln Ave
Saugus, MA 01906
Phone (781) 231-3492

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": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1942481270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 LINCOLN AVE",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019063850",
            "telephone_number": "781-231-3492",
            "fax_number": "781-231-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 LINCOLN AVE",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019063850",
            "telephone_number": "781-231-3492",
            "fax_number": "781-231-3493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "781-231-3492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS LEGACY",
            "identifier": "Y35734",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saugus, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.