Charleen Dawn Amato, D.C.
Individual provider Active NPI Chiropractor · Burlington, MA
NPI 1104935790 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104935790
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- MA 2387 (MA)
- Practice address
- 175 Cambridge St
Burlington, MA 01803-2930 - Phone
- (781) 221-2295
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
172 Cambridge St
Suite 304
Burlington, MA 01803-2984
Phone (781) 221-2295
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040802000962 | MA | Practitioner - Chiropractic | 5092786319 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 2387 | MA | MD | Chiropractor |
| 2387 | MA | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MA 2387 | MA | Yes |
Addresses
Primary practice location
175 Cambridge St
Burlington, MA 01803-2930
Mailing address
8 Janice Rd
Billerica, MA 01821-1517
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2302636 | Other | MA | AETNA |
| B20951101 | Other | MA | CIGNA |
| 1696718 | Other | MA | MASSHEALTH |
| 352491 | Other | MA | HARVARD PILGRIM |
| Y36697 | Other | MA | BLUE CROSS/BLUE SHIELD |
Other providers in Burlington, MA
- Alanis Nicole Alpizar
- Sama Alshora
- Afnan Althubaity
- Amal Alwreikat
- Amer M Alwreikat
- Mary G Amato
- Celynne Fleur Ambrose
- American Light Home Care Services LLC
- Unknown Amroz Singh
- Chineye Brenda Amuchi
All providers in Burlington, MA · Chiropractor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.