NPIMap

Organization Active NPI

Amy Mooney, D.C.

  • Chiropractor
  • Stow, MA
National Provider Identifier
1194861633
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2455 Issued in MA
Legal business name
AMY MOONEY, D.C.
Practice address
117 Great Rd
Global Fitness Center
Stow, MA 01775-1191
Phone
(978) 897-0393
Fax
(978) 897-3110
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2008

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

Authorized official

Name
Dr. Amy M Lewellen, D.C.NPI 1003993627
Title
Owner
Phone
(978) 897-0393

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 2455 MA Primary

Addresses

Primary practice location

117 Great Rd
Global Fitness Center
Stow, MA 01775-1191

Mailing address

49 Dartmouth St
101
Portland, ME 04101-1700
Phone (207) 828-8777

Other identifiers 7

IdentifierTypeStateIssuer
Y40038OtherMABCBS GROUP
2503521OtherMAAETNA
Y36775OtherMABCBS OF MA INDIVIDUAL
351399OtherMAHPHC
80877OtherMAFALLON
6307932001OtherMACIGNA
44-02698OtherMAUHC

Other names 1

  • Amy Mooney, D.C. Doing business as

National Provider Directory

National Provider Directory

Locations

49 Dartmouth St
Ste 101
Portland, ME 04101
Phone (207) 828-8777

Practitioners & affiliated clinicians

Practitioners 2

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1194861633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 DARTMOUTH ST",
            "address_2": "101",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041011700",
            "telephone_number": "207-828-8777",
            "fax_number": "207-828-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 GREAT RD",
            "address_2": "GLOBAL FITNESS CENTER",
            "city": "STOW",
            "state": "MA",
            "postal_code": "017751191",
            "telephone_number": "978-897-0393",
            "fax_number": "978-897-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY MOONEY, D.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "LEWELLEN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-897-0393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "Y40038",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2503521",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA INDIVIDUAL",
            "identifier": "Y36775",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "351399",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "80877",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6307932001",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "44-02698",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amy Mooney, D.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; 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.