Family Practice of Chiropractic, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

DC1915 Issued in MA

Legal business name

FAMILY PRACTICE OF CHIROPRACTIC, PC

Practice address

112 Mayor Thomas J McGrath Hwy
Quincy, MA 02169-4607

Phone

(671) 472-4220

Fax

(617) 472-2598

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gabrielle Sharon Freedman, D.C.

Title

Owner

Phone

(617) 472-4220

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1982771978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MAYOR THOMAS J MCGRATH HWY",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694607",
            "telephone_number": "671-472-4220",
            "fax_number": "617-472-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MAYOR THOMAS J MCGRATH HWY",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694607",
            "telephone_number": "671-472-4220",
            "fax_number": "617-472-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE OF CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "FREEDMAN",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_middle_name": "SHARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-472-4220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "DC1915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "760406",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "352418",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y36387",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ziyu Fang
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• Walid S Farah, MD
• Tanya Faria-Yeomans

• Specialist in Quincy, MA
• Providers in Quincy, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.