Individual provider Active NPI

Madeline Tejada, D.C.

  • Chiropractor
  • Hyde Park, MA
National Provider Identifier
1366633349
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3145 Issued in MA
Practice address
97 Arlington St
Hyde Park, MA 02136-3016
Phone
(617) 970-2929
NPI assigned
Aug 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3145 MA Primary

Addresses

Primary practice location

97 Arlington St
Hyde Park, MA 02136-3016

Mailing address

97 Arlington St
Hyde Park, MA 02136-3016
Phone (617) 970-2929

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071027000017 MA Practitioner - Chiropractic 5395832000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

43 Cummins Hwy
Roslindale, MA 02131-2523
Phone (617) 942-0255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3145MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Steps to Wellness Chiropractic Chiropractor CurrentSince Jan 9, 2012 Accepting new patients
Steps to Wellness Physical Therapy CurrentSince Feb 15, 2021 Accepting new patients
Advantage Health & Wellness Inc Chiropractor Past Accepting new patients
Happy Horse, Incor. Chiropractor Past Accepting new patients
Back & Neck Treatment Center Inc Chiropractor Past Accepting new patients

Locations

43 Cummins Hwy
Roslindale, MA 02131
Phone (617) 942-0255

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1366633349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 ARLINGTON ST",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021363016",
            "telephone_number": "617-970-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 ARLINGTON ST",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021363016",
            "telephone_number": "617-970-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJADA",
        "first_name": "MADELINE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyde Park, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.