Individual provider Active NPI

Mark Joseph Mancinelli, D.C.

  • Chiropractor
  • Peabody, MA
National Provider Identifier
1093757932
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
930 Issued in MA
Practice address
100 Corporate PL
Suite 103
Peabody, MA 01960-3865
Phone
(781) 718-9920
NPI assigned
Jun 12, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 930 MA Primary

Addresses

Primary practice location

100 Corporate PL
Suite 103
Peabody, MA 01960-3865

Mailing address

15 Sylvan Cir
Lynnfield, MA 01940-1534
Phone (781) 592-4235

Other identifiers 1

IdentifierTypeStateIssuer
MASS # 930OtherMACHIROPRACTOR

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1093757932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SYLVAN CIR",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019401534",
            "telephone_number": "781-592-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CORPORATE PL",
            "address_2": "SUITE 103",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603865",
            "telephone_number": "781-718-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCINELLI",
        "first_name": "MARK",
        "middle_name": "JOSEPH",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR",
            "identifier": "MASS # 930",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.