Active NPI
Stephen M Driscoll, DC
- Chiropractor
- Marstons Mills, MA
National Provider Identifier
1265506679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1206
- Practice address
- 153 Lovells Lane
Marstons Mills, MA 02648 - Phone
- (508) 420-1160
- Fax
- (508) 420-3245
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1206 | MA | Primary |
Addresses
Primary practice location
153 Lovells Lane
Marstons Mills, MA 02648
Mailing address
153 Lovells Lane
Marstons Mills, MA 02648
Phone (508) 420-1160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060501000029 | MA | Practitioner - Chiropractic | 4284644675 | Practice locations: Marston Mills, MA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1206 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265506679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 LOVELLS LANE",
"city": "MARSTONS MILLS",
"state": "MA",
"postal_code": "02648",
"telephone_number": "508-420-1160",
"fax_number": "508-420-3245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 LOVELLS LANE",
"city": "MARSTONS MILLS",
"state": "MA",
"postal_code": "02648",
"telephone_number": "508-420-1160",
"fax_number": "508-420-3245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRISCOLL",
"first_name": "STEPHEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marstons Mills, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.