Active NPI
Stephan F. Rondeau, D.C.
- Chiropractor
- Lynnfield, MA
National Provider Identifier
1316005663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0969
- Practice address
- 741 Salem St
Lynnfield, MA 01540-2344 - Phone
- (781) 592-2225
- Fax
- (701) 582-3003
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 0969 | MA | Primary |
Addresses
Primary practice location
741 Salem St
Lynnfield, MA 01540-2344
Mailing address
741 Salem St
Lynnfield, MA 01940-2344
Phone (781) 592-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060427000285 | MA | Practitioner - Chiropractic | 6305856956 | Practice locations: Lynnfield, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1985
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
741 Salem St
Lynnfield, MA 01940-2344
Phone (781) 592-2225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0969 | MA | MD | Chiropractor |
| 969 | MA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328486400000",
"number": "1316005663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "741 SALEM ST",
"city": "LYNNFIELD",
"state": "MA",
"postal_code": "019402344",
"telephone_number": "781-592-2225",
"fax_number": "781-592-3003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "741 SALEM ST",
"city": "LYNNFIELD",
"state": "MA",
"postal_code": "015402344",
"telephone_number": "781-592-2225",
"fax_number": "701-582-3003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RONDEAU",
"first_name": "STEPHAN",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2012-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "0969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynnfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.