Individual provider Active NPI

Andrew James Mutter, D.C.

  • Chiropractor
  • Burlington, MA
National Provider Identifier
1316264047
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3143 Issued in MA
Practice address
83 Cambridge St
Suite 1B
Burlington, MA 01803-4157
Phone
(781) 365-0400
Fax
(781) 272-2442
NPI assigned
Apr 20, 2010
Last updated
Mar 27, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3143 MA Primary

Addresses

Primary practice location

83 Cambridge St
Suite 1B
Burlington, MA 01803-4157

Mailing address

83 Cambridge St
Suite 1B
Burlington, MA 01803-4157
Phone (781) 365-0400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100819000351 MA Practitioner - Chiropractic 6406980960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

83 Cambridge St
Suite 1B
Burlington, MA 01803-4181
Phone (781) 365-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mutter Family Chiropractic LLC Chiropractor CurrentSince May 5, 2010 Accepting new patients

Locations

83 Cambridge St
Burlington, MA 01803
Phone (781) 365-0400

83 Cambridge St
Ste 1B
Burlington, MA 01803
Phone (781) 365-0400

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1316264047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 CAMBRIDGE ST",
            "address_2": "SUITE 1B",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034157",
            "telephone_number": "781-365-0400",
            "fax_number": "781-272-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 CAMBRIDGE ST",
            "address_2": "SUITE 1B",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034157",
            "telephone_number": "781-365-0400",
            "fax_number": "781-272-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTTER",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-20",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.

Verify at the official NPI Registry.