Individual provider Active NPI

Gary Kane, D.C.

  • Chiropractor
  • Woburn, MA
National Provider Identifier
1992778161
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1958 Issued in MA
Practice address
300 Trade Center
Suite #4460
Woburn, MA 01801
Phone
(781) 933-5051
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1958 MA Primary

Addresses

Primary practice location

300 Trade Center
Suite #4460
Woburn, MA 01801

Mailing address

300 Tradecenter
Ste 4460
Woburn, MA 01801-7426
Phone (781) 933-5051

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040326000258 MA Practitioner - Chiropractic 6709778640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winchester Chiropractic Center LLCGroup PAC ID 5991065716, 4 clinicians

Practice addresses (Care Compare)

300 Tradecenter
Suite 4460
Woburn, MA 01801-7426
Phone (781) 933-5051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1958MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Chiropractic Center, LLC Chiropractor CurrentSince Feb 1, 2018 Accepting new patients
Boston Baby Bodywork and Lactation Chiropractor PastSince Feb 1, 2018 Accepting new patients

Locations

300 Tradecenter
Ste 4460
Woburn, MA 01801
Phone (781) 933-5051

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1992778161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TRADECENTER",
            "address_2": "STE 4460",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018017426",
            "telephone_number": "781-933-5051",
            "fax_number": "781-933-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TRADE CENTER",
            "address_2": "SUITE #4460",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "01801",
            "telephone_number": "781-933-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "GARY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.