Organization Active NPI

Methuen Family Chiropractic

  • Chiropractor
  • Methuen, MA
National Provider Identifier
1366645830
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2398 Issued in MA
Legal business name
METHUEN FAMILY CHIROPRACTIC
Practice address
112 Jackson St
Methuen, MA 01844-5045
Phone
(978) 683-4410
NPI assigned
Jun 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Frank Rondinelli, D.C.NPI 1447330733
Title
Owner
Phone
(978) 683-4410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2398 MA Primary

Addresses

Primary practice location

112 Jackson St
Methuen, MA 01844-5045

Mailing address

112 Jackson St
Methuen, MA 01844-5045
Phone (978) 683-4410

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190913000907 MA Part B Supplier - Clinic/Group Practice 9335478528 Receives reassigned benefits from 1 practitioner
Practice locations: Methuen, MA

National Provider Directory

National Provider Directory

Locations

112 Jackson St
#1
Methuen, MA 01844
Phone (978) 683-4410

112 Jackson St
Methuen, MA 01844
Phone (978) 683-4410

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": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366645830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 JACKSON ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445045",
            "telephone_number": "978-683-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 JACKSON ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445045",
            "telephone_number": "978-683-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHUEN FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RONDINELLI",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-683-4410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.