Organization Active NPI

Mariska Visser LLC

  • Chiropractor
  • Newburyport, MA
National Provider Identifier
1306158704
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2443 Issued in MA
Legal business name
MARISKA VISSER LLC
Practice address
50 Water St
Ste 148
Newburyport, MA 01950-2889
Phone
(978) 462-2971
Fax
(978) 463-9526
NPI assigned
Jul 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Authorized official

Name
Mariska E Visser, D.C.
Title
Owner
Phone
(978) 462-2971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2443 MA Primary

Addresses

Primary practice location

50 Water St
Ste 148
Newburyport, MA 01950-2889

Mailing address

50 Water St
Ste 148
Newburyport, MA 01950-2889
Phone (978) 462-2971

Other identifiers 3

IdentifierTypeStateIssuer
AA1032OtherMAHARVARD PILGRIM
611158OtherMATUFTS
Y36700OtherMABLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

50 Water St
Ste 148
Newburyport, MA 01950
Phone (978) 462-2971

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1306158704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 WATER ST",
            "address_2": "STE 148",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502889",
            "telephone_number": "978-462-2971",
            "fax_number": "978-463-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WATER ST",
            "address_2": "STE 148",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502889",
            "telephone_number": "978-462-2971",
            "fax_number": "978-463-9526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARISKA VISSER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-14",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "VISSER",
        "authorized_official_first_name": "MARISKA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-462-2971",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA1032",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "611158",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y36700",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.