PINE GROVE CHIROPRACTIC, P.C. (NPI# 1386825776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386825776 |
| Entity Type | Organization |
| Organization Name | PINE GROVE CHIROPRACTIC, P.C. |
| Other Organization Name | CAROL DUPHILY, D.C. |
| Practice Address |
934 Ashley Boulevard New Bedford MA 02745 |
| Practice Telephone | 9089988444 |
| Practice Fax Number | 5089989777 |
| Mailing Telephone | 9089988444 |
| Mailing Fax Number | 5089989777 |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2010-02-05 |
| Authorized Official Name | MS. CAROL A. DUPHILY (OWNER) |
| Authorized Official Telephone | 5089988444 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1288 | MA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1611666 | 05 | |
| MA | BLUE CROSS/BLUE SHIELD MA | Y39254 | 01 |
| Other Name | Type Code |
|---|---|
| Carol Duphily, D.C. | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | PINE GROVE CHIROPRACTIC, P. C. | 934 Ashley Boulevard, New Bedford, MA 02745 |
| Street Address |
934 ASHLEY BOULEVARD |
| City | NEW BEDFORD |
| State | MA |
| Zip Code | 02745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407318272 | Sandra Thelma Malek | Physical Therapist | 748 Ashley Blvd, New Bedford, MA 02745 | 2019-04-02 |
| 1497290829 | Southcoast Hair Options | Prosthetist | 2082 Acushnet Ave., New Bedford, MA 02745 | 2016-12-20 |
| 1154665792 | Christine M. Homen Msw,licsw | Community/Behavioral Health | 32 Welby Road, Suite 114b, New Bedford, MA 02745 | 2012-11-20 |
| 1679858286 | Brian E Lang | Pharmacist | 1737acushnet Ave, New Bedford, MA 02745 | 2011-10-14 |
| 1063793826 | Internal Medicine and Preventive Care, P.C. | Clinic/Center | 130 Virgo Dr, New Bedford, MA 02745 | 2011-09-07 |
| 1942447289 | Dental Dreams, LLC | Dentist | 1054 Kings Highway, New Bedford, MA 02745 | 2009-01-08 |
| 1437314374 | Mary Lou Marques | Durable Medical Equipment & Medical Supplies | 1980 Acushnet Avenue, New Bedford, MA 02745 | 2008-07-21 |
| 1871751958 | Deborah M Okafor | Occupational Therapist | 27 Maddie Dr, New Bedford, MA 02745 | 2008-05-27 |
| 1114192457 | Lucia Vargas Williams | Social Worker | 1121 Ashley Blvd., New Bedford, MA 02745 | 2008-04-28 |
| 1477698074 | Victor Paul Caliri | Psychologist | 862 Ashley Boulevard, New Bedford, MA 02745 | 2007-02-21 |
| Find all providers in zip 02745 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427396357 | Bottary Chiropractic Professional LLC | Chiropractor | 789 Belleville Ave, New Bedford, MA 02745-6126 | 2013-01-28 |
| 1649583352 | New Bedford Health and Wellness Center | Chiropractor | 183 Orchard St, New Bedford, MA 02740-3469 | 2010-07-22 |
| 1508096124 | Daniel Martin Pogany | Chiropractor | 162 Aquidneck Street, New Bedford, MA 02744 | 2009-07-16 |
| 1336306174 | David W. Robinson | Chiropractor | 10 Hawthorn Ter, New Bedford, MA 02740-3451 | 2008-05-20 |
| 1922296441 | Total Health P.C. | Chiropractor | 80 William St, New Bedford, MA 02740-6227 | 2007-10-10 |
| 1962629949 | Michele Edward Merolla IIi | Chiropractor | 100 Bedford Street, New Bedford, MA 02740 | 2007-04-19 |
| 1538292180 | Steven Raposo | Chiropractor | 43 Tower Dr, New Bedford, MA 02740-6403 | 2007-03-13 |
| 1942355797 | George J. Polochick | Chiropractor | 2090 Acushnet Ave, New Bedford, MA 02745-6310 | 2007-01-24 |
| 1295892552 | Harbor Chiropractic Group, LLC. | Chiropractor | 225 Rockland Street, New Bedford, MA 02740-3101 | 2007-01-03 |
| 1700957495 | John W Olson | Chiropractor | 2263 Acushnet Ave, New Bedford, MA 02745-2827 | 2006-11-13 |
| Find all providers in NEW BEDFORD | ||||
| City | NEW BEDFORD |
| Zip Code | 02745 |
Please comment or provide details below to improve the information on PINE GROVE CHIROPRACTIC, P.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.