Organization Active NPI

Paul Milone, D.C., P.C.

  • Chiropractor
  • Marblehead, MA
National Provider Identifier
1124295894
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH1762 Issued in MA
Legal business name
PAUL MILONE, D.C., P.C.
Practice address
40 Tioga Way
Suite 100
Marblehead, MA 01945-5501
Phone
(781) 639-0808
Fax
(781) 639-1471
NPI assigned
May 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Authorized official

Name
Dr. Paul Michael Milone, D.C.NPI 1518075340
Title
President
Phone
(781) 639-0808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH1762 MA Primary

Addresses

Primary practice location

40 Tioga Way
Suite 100
Marblehead, MA 01945-5501

Mailing address

40 Tioga Way
Suite 100
Marblehead, MA 01945-5501
Phone (781) 639-0808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081009000561 MA Part B Supplier - Clinic/Group Practice 7719055326 Receives reassigned benefits from 1 practitioner
Practice locations: Marblehead, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1124295894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 TIOGA WAY",
            "address_2": "SUITE 100",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019455501",
            "telephone_number": "781-639-0808",
            "fax_number": "781-639-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 TIOGA WAY",
            "address_2": "SUITE 100",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019455501",
            "telephone_number": "781-639-0808",
            "fax_number": "781-639-1471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL MILONE, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "MILONE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-639-0808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "CH1762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marblehead, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.