DAVIS SQUARE CHIROPRACTIC, PC (NPI# 1710251632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710251632 |
| Entity Type | Organization |
| Organization Name | DAVIS SQUARE CHIROPRACTIC, PC |
| Practice Address |
49 Holland St Somerville MA 02144-2731 |
| Practice Telephone | 6176258707 |
| Practice Fax Number | 6176661763 |
| Mailing Telephone | 6176258707 |
| Mailing Fax Number | 6176661763 |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-02-24 |
| Authorized Official Name | DR. DAVID GREGORY SHADRICK JR. (PRESIDENT) |
| Authorized Official Telephone | 6176258707 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3169 | MA | Chiropractic Providers |
| Street Address |
49 HOLLAND ST |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02144-2731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922281567 | David Gregory Shadrick Jr. | Chiropractor | 49 Holland St, Somerville, MA 02144 | 2007-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386106953 | Star Markets Company Inc | Durable Medical Equipment & Medical Supplies | 90 Causeway St, Boston, MA 02144 | 2019-04-03 |
| 1841769460 | Jeffrey Shwom | Technician/Technologist | 40 Holland Street, 1st Floor, Somerville, MA 02144 | 2018-11-14 |
| 1689106700 | Michelle Dyrholm | Anesthesiology | Massachusetts General Hospital, Dept of Anesthesia, 55 Fruit Street, Gray-bigelow 444, Boston, MA 02144 | 2017-03-29 |
| 1275089575 | Nancy Landry Pllc | Family Medicine | Somerville Family Practice, 1020 Broadway, Somerville, MA 02144 | 2016-08-28 |
| 1982019451 | Wilson Garcia Acosta | Specialist | 278 Powderhouse, Somerville, MA 02144 | 2014-06-24 |
| 1376954289 | Jonathan Farr | Counselor | 1236 Broadway Ste 12, Somerville, MA 02144 | 2014-05-13 |
| 1356751945 | Christina Sakelarakis | Psychologist | 73 Fairfax St, Somerville, MA 02144 | 2014-05-05 |
| 1578905816 | Nicolle Woods | Behavioral Analyst | 58 Day St #441938, Somerville, MA 02144 | 2013-07-29 |
| 1306130018 | Emily Elizabeth Wheeler | Psychologist | 259 Elm St Ste 201, Somerville, MA 02144 | 2011-05-31 |
| 1932363355 | Hang Le Ngo | Psychologist | 53 Chester Street, Somerville, MA 02144 | 2008-07-15 |
| Find all providers in zip 02144 | ||||
| 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 |
|---|---|---|---|---|
| 1831664903 | Lifeworks Chiropractic LLC | Chiropractor | 278 Elm St Ste 229, Somerville, MA 02144-2919 | 2018-10-04 |
| 1629596549 | John Fredrick Mccarthy Jr. | Chiropractor | 71 Holland St, Somerville, MA 02144-2733 | 2017-08-30 |
| 1992238729 | Alexander J. Kishyk, D.c. LLC | Chiropractor | 373 E Main St Ste 10, Somerville, NJ 08876-3143 | 2017-04-08 |
| 1992079255 | Samsara Chiropractic Wellness Center | Chiropractor | 1 Eastern Ave Ste 2, Somerville, NJ 08876-2552 | 2012-03-05 |
| 1922281567 | David Gregory Shadrick Jr. | Chiropractor | 49 Holland St, Somerville, MA 02144 | 2007-12-05 |
| 1194933986 | Cynthia Snyder | Chiropractor | 1 West Cliff St, Somerville, NJ 08876 | 2007-05-18 |
| 1629284146 | Rebecca Herrmann | Chiropractor | 240b Elm St, Somerville, MA 02144-2960 | 2007-05-14 |
| 1568584704 | Curtis M Langer | Chiropractor | 179 Elm St, Suite 202, Somerville, MA 02144-3145 | 2007-04-06 |
| 1376668491 | John Petruzzelli | Chiropractor | 491 Broadway, Somerville, MA 02145-2607 | 2007-03-20 |
| 1326172610 | Fred Barreau | Chiropractor | 240-a Elm Street, Suite 27, Somerville, MA 02144-2935 | 2007-03-16 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 02144 |
Please comment or provide details below to improve the information on DAVIS SQUARE CHIROPRACTIC, PC.
| 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.