Individual provider Active NPI

Robert Marsh, DC

  • Chiropractor
  • Dorchester Center, MA
National Provider Identifier
1215959499
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2867 Issued in MA
Practice address
526 Gallivan Blvd
Dorchester Center, MA 02124-5401
Phone
(617) 282-1200
Fax
(617) 282-9988
NPI assigned
Jul 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
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 2867 MA Primary

Addresses

Primary practice location

526 Gallivan Blvd
Dorchester Center, MA 02124-5401

Mailing address

16 Beechwood Rd
Braintree, MA 02184-3711
Phone (617) 816-4460

Other identifiers 1

IdentifierTypeStateIssuer
Y37116OtherMABCBSMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160329002479 VA Practitioner - Chiropractic 0749242626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Red Mill Chiropractic LLCGroup PAC ID 5890092308, 5 clinicians

Practice addresses (Care Compare)

1253 Nimmo Pkwy
Suite 110
Virginia Beach, VA 23456-7782
Phone (757) 918-7761

1650 General Booth Blvd
Suite 100a
Virginia Beach, VA 23454-5609
Phone (757) 689-3113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2867MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Red Mill Chiropractic LLC Chiropractor CurrentSince Mar 1, 2016 Accepting new patients
Kempsville Chiropractic Chiropractor PastSince Mar 14, 2016 Accepting new patients
Mark L. Delmonte DC PC Chiropractor Past Accepting new patients

Locations

1253 Nimmo Pkwy
Ste 110
Virginia Beach, VA 23456
Phone (757) 821-2088

1650 General Booth Blvd
Ste 100A
Virginia Beach, VA 23454
Phone (757) 689-3113

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215959499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 BEECHWOOD RD",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021843711",
            "telephone_number": "617-816-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 GALLIVAN BLVD",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021245401",
            "telephone_number": "617-282-1200",
            "fax_number": "617-282-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSH",
        "first_name": "ROBERT",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "Y37116",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester Center, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.