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KELLEY BOULEVARD CHIROPRACTIC
NPI 1083895221
Chiropractor in Plainville, MA

Active since November 15, 2007
72 TAUNTON ST STE G01, PLAINVILLE, MA 02762(508) 699-2228(508) 699-2228 Get Directions Write a Review

NPPES record last updated: November 15, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelley Boulevard Chiropractic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLEY BOULEVARD CHIROPRACTIC (NPI 1083895221) is a healthcare organization registered as a chiropractor in Plainville, Massachusetts and active in the NPI registry since November 2007. The organization lists Martin I Gruder, Chiropractor/owner, as its authorized official.

NPPES Registry Identity

NPI1083895221
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameKELLEY BOULEVARD CHIROPRACTIC
Location Address72 TAUNTON ST STE G01Plainville, MA 02762-2132
Mailing Address72 Taunton St Ste G01Plainville, MA 02762-2132 · (508) 699-2228 · Fax (508) 699-2228
Phone(508) 699-2228
Fax(508) 699-2228
Organization SubpartNo
Authorized OfficialMartin I GruderChiropractor/owner · (508) 699-2228
Enumeration DateNovember 15, 2007
✔ NPI 1083895221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MA · 983
Definition
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.
72 TAUNTON ST STE G01, Plainville, MA 02762
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Other Identifiers 1

Medicare UPINT43401MA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelley Boulevard Chiropractic's NPI number?

The NPI number for Kelley Boulevard Chiropractic is 1083895221. It was assigned to this organization in the NPPES registry on November 15, 2007.

Where is Kelley Boulevard Chiropractic located?

Kelley Boulevard Chiropractic is located at 72 Taunton St Ste G01, Plainville, MA 02762. The listed phone number is (508) 699-2228.

What is Kelley Boulevard Chiropractic's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Kelley Boulevard Chiropractic was last updated on November 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.