Active NPI
Orient Heights Chiropractic Office
- Chiropractor
- East Boston, MA
National Provider Identifier
1225105901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 681
- Legal business name
- ORIENT HEIGHTS CHIROPRACTIC OFFICE
- Practice address
- 1214 Bennington St
East Boston, MA 02128-1203 - Phone
- (617) 569-6607
- Fax
- (617) 569-8302
- NPI assigned
- Nov 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew James Mallen, DC
- Title
- Chiropractor
- Phone
- (617) 569-6607
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 681 | MA | Primary |
Addresses
Primary practice location
1214 Bennington St
East Boston, MA 02128-1203
Mailing address
1214 Bennington St
East Boston, MA 02128-1203
Phone (617) 569-6607
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y35466 | Other | MA | BCBS |
| 1601776 | Medicaid | MA | |
| 714763 | Other | MA | TUFTS |
National Provider Directory
National Provider DirectoryLocations
1214 Bennington St
East Boston, MA 02128
Phone (617) 569-6607
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- East Boston, MA
- NPI 1942498852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215561600000",
"number": "1225105901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1214 BENNINGTON ST",
"city": "EAST BOSTON",
"state": "MA",
"postal_code": "021281203",
"telephone_number": "617-569-6607",
"fax_number": "617-569-8302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 BENNINGTON ST",
"city": "EAST BOSTON",
"state": "MA",
"postal_code": "021281203",
"telephone_number": "617-569-6607",
"fax_number": "617-569-8302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORIENT HEIGHTS CHIROPRACTIC OFFICE",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-29",
"last_updated": "2008-07-09",
"status": "A",
"authorized_official_last_name": "MALLEN",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "617-569-6607",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MA",
"license": "681",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y35466",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1601776",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "714763",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.