Organization Active NPI

Alive & Well Chiropractic, Inc

  • Chiropractor
  • Reading, MA
National Provider Identifier
1295919942
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
250259 Issued in MA
Legal business name
ALIVE & WELL CHIROPRACTIC, INC
Practice address
2 Linden St
Reading, MA 01867-2940
Phone
(781) 942-7121
NPI assigned
Dec 18, 2007
Last updated
Oct 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Authorized official

Name
Dr. Anne Marie Marcellino, D.C. , C.C.E.P.NPI 1174686968
Title
Chiropractor
Phone
(781) 942-7121

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 250259 MA Primary

Addresses

Primary practice location

2 Linden St
Reading, MA 01867-2940

Mailing address

2 Linden St
Reading, MA 01867
Phone (781) 942-7121

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081215000722 MA Part B Supplier - Clinic/Group Practice 7517029291 Receives reassigned benefits from 1 practitioner
Practice locations: Reading, MA

National Provider Directory

National Provider Directory

Locations

2 Linden St
Reading, MA 01867
Phone (781) 942-7121

2 Linden St
Ste 101
Reading, MA 01867
Phone (781) 942-7121

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1295919942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LINDEN ST",
            "city": "READING",
            "state": "MA",
            "postal_code": "01867",
            "telephone_number": "781-942-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LINDEN ST",
            "city": "READING",
            "state": "MA",
            "postal_code": "018672940",
            "telephone_number": "781-942-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIVE & WELL CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "MARCELLINO",
        "authorized_official_first_name": "ANNE MARIE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "781-942-7121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C. , C.C.E.P."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "250259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.