Organization Active NPI

Cape Cod Sports Chiropractic

  • Chiropractor
  • Marstons Mills, MA
National Provider Identifier
1942558598
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3387 Issued in MA
Legal business name
CAPE COD SPORTS CHIROPRACTIC
Practice address
86 Cotuit Rd
Unit B1
Marstons Mills, MA 02648-5716
Phone
(774) 228-2179
Fax
(774) 228-2178
NPI assigned
Aug 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2013

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

Authorized official

Name
Dr. Albert Couillard, D.C
Title
Owner/ Manager/ Chiropractor
Phone
(774) 228-2179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3387 MA Primary

Addresses

Primary practice location

86 Cotuit Rd
Unit B1
Marstons Mills, MA 02648-5716

Mailing address

86 Cotuit Rd
Unit B1
Marstons Mills, MA 02648-5716
Phone (774) 228-2179

National Provider Directory

National Provider Directory

Locations

86 Cotuit Rd
Unit B1
Marstons Mills, MA 02648
Phone (508) 539-9780

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1942558598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 COTUIT RD",
            "address_2": "UNIT B1",
            "city": "MARSTONS MILLS",
            "state": "MA",
            "postal_code": "026485716",
            "telephone_number": "774-228-2179",
            "fax_number": "774-228-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 COTUIT RD",
            "address_2": "UNIT B1",
            "city": "MARSTONS MILLS",
            "state": "MA",
            "postal_code": "026485716",
            "telephone_number": "774-228-2179",
            "fax_number": "774-228-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE COD SPORTS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "COUILLARD",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "OWNER/ MANAGER/ CHIROPRACTOR",
        "authorized_official_telephone_number": "774-228-2179",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marstons Mills, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.