NPIMap

Individual provider Active NPI

Kathleen J. O'Malley, D.C.

  • Chiropractor
  • North Grafton, MA
National Provider Identifier
1033245006
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2417 Issued in MA
Practice address
80 Worcester St
Suite# 2
North Grafton, MA 01536-1041
Phone
(508) 839-0040
Fax
(508) 839-0043
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2417 MA Primary

Addresses

Primary practice location

80 Worcester St
Suite# 2
North Grafton, MA 01536-1041

Mailing address

80 Worcester St
Suite# 2
North Grafton, MA 01536-1041
Phone (508) 839-0040

Other identifiers 5

IdentifierTypeStateIssuer
7302717OtherMAAETNA
Y36801OtherMABLUE CROSS BLUE SHIELD
043579486OtherMATAX IDENTIFICATION NO.
460230OtherMATUFTS HEALTH PLAN
1696742MedicaidMA

Other names 1

  • Dr. Kathleen J. Webster Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2417MAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brian C. Solomon Chiropractor Past Accepting new patients
O'Malley Family Chiropractic Chiropractor Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033245006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 WORCESTER ST",
            "address_2": "SUITE# 2",
            "city": "NORTH GRAFTON",
            "state": "MA",
            "postal_code": "015361041",
            "telephone_number": "508-839-0040",
            "fax_number": "508-839-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WORCESTER ST",
            "address_2": "SUITE# 2",
            "city": "NORTH GRAFTON",
            "state": "MA",
            "postal_code": "015361041",
            "telephone_number": "508-839-0040",
            "fax_number": "508-839-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MALLEY",
        "first_name": "KATHLEEN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7302717",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y36801",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NO.",
            "identifier": "043579486",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "460230",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1696742",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "WEBSTER",
            "middle_name": "J.",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Grafton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.