Maddalo Chiropractic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

903 Issued in MA

Legal business name

MADDALO CHIROPRACTIC, P.C.

Practice address

257 Cambridge St
#1
Cambridge, MA 02141-1272

Phone

(617) 547-4444

Fax

(617) 576-2842

NPI assigned

Sep 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Candace M Maddalo, DC

Title

Chiropractor

Phone

(617) 547-4444

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1295929081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 CAMBRIDGE ST",
            "address_2": "#1",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021411272",
            "telephone_number": "617-547-4444",
            "fax_number": "617-576-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 CAMBRIDGE ST",
            "address_2": "#1",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021411272",
            "telephone_number": "617-547-4444",
            "fax_number": "617-576-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADDALO CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "MADDALO",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "617-547-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS LEGACY",
            "identifier": "Y36051",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Robert Maciel, RDN
• Melissa Macintyre, LICSW
• R Tracy Macnab, PHD
• Macro, Inc.
• Connor Madalo
• Candace Mary Maddalo, D.C.
• Colleen Elizabeth Madden, NP
• Ann M Maderer, LIC. AC.
• Drew E Madore, PSYD
• Yumi Maeda

• Chiropractor in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.