Organization Active NPI

Indek Chiropractic

  • Chiropractor
  • Quincy, MA
National Provider Identifier
1992903975
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
765 Issued in MA
Legal business name
INDEK CHIROPRACTIC
Practice address
71 Parkingway St
Quincy, MA 02169-5059
Phone
(617) 472-0661
Fax
(617) 774-1700
NPI assigned
Jul 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Dr. Bruce Indek, DC
Title
President
Phone
(617) 472-0661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 765 MA Primary

Addresses

Primary practice location

71 Parkingway St
Quincy, MA 02169-5059

Mailing address

71 Parkingway St
Quincy, MA 02169-5059
Phone (617) 472-0661

National Provider Directory

National Provider Directory

Locations

33 Union St
Ste 210
Weymouth, MA 02190
Phone (781) 337-1180

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1992903975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 PARKINGWAY ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695059",
            "telephone_number": "617-472-0661",
            "fax_number": "617-774-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 PARKINGWAY ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695059",
            "telephone_number": "617-472-0661",
            "fax_number": "617-774-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEK CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "INDEK",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-472-0661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.