1689730525 NPI number — RICHARD N GARIAN D.C. LLC

Table of content: (NPI 1689730525)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689730525 NPI number — RICHARD N GARIAN D.C. LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RICHARD N GARIAN D.C. LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
DR. RICHARD N. GARIAN D.C., C.C.S.P.
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689730525
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
657 FRANKLIN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FRAMINGHAM
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01702-2919
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-879-9458
Provider Business Mailing Address Fax Number:
508-879-4053

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
657 FRANKLIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRAMINGHAM
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01702-2919
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-879-9458
Provider Business Practice Location Address Fax Number:
508-879-4053
Provider Enumeration Date:
12/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GARIAN
Authorized Official First Name:
RICHARD
Authorized Official Middle Name:
N
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
508-879-9458

Provider Taxonomy Codes

  • Taxonomy code: 111NS0005X , with the licence number:  420 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 35020 . This is a "HARVARD PILGRIM" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 4400369 . This is a "UNITED HEALTH CARD" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 0482913 . This is a "U.S. HEALTH CARD" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 708258 . This is a "TUFTS TOTAL HEALTH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: Y35253 . This is a "BLUE SHIELD" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 1613065 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com