DOUGLAS JOSEPH GENDRON DC NPI 1487768040

NPI Information

NPI: 1487768040
Provider Name: DOUGLAS JOSEPH GENDRON, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
438 CHESTNUT ST
SPRINGFIELD, MA
ZIP 01107
Phone: (413) 746-0504
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Douglas Joseph Gendron, DC is a chiropractor in Springfield, MA. The provider is 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. Douglas Joseph Gendron, DC NPI is 1487768040. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

438 CHESTNUT ST
SPRINGFIELD, MA
ZIP 01107
Phone: (413) 746-0504
Fax: (413) 746-0508

The enumeration date for this NPI number is 8/19/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		2005	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	665295	OTHER		ACN
2	Y45483	OTHER		MEDICARE MASS AREA 99
3	3065316	OTHER		AETNA
4	Y36679	OTHER		BCBS MASS HMO
5	Y45483	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
6	1601229	OTHER		MASS HEALTH MEDICAID
7	665295	OTHER		ACN GROUP
8	Y36679	OTHER	MASSACHUSETTS	BCBS
9	U67282	MEDICARE UPIN
10	Y36679	OTHER		BCBS MASS INDEMNITY
11	1028952	OTHER		FALLON
12	1601229	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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