Individual provider Active NPI

Marsella L Imonti, D.C.

  • Chiropractor
  • Dorchester, MA
National Provider Identifier
1396982245
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3184 Issued in MA
Practice address
103 Savin Hill Ave
Dorchester, MA 02125-1442
Phone
(617) 506-1872
Fax
(617) 506-0075
NPI assigned
Jan 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3184 MA Primary

Addresses

Primary practice location

103 Savin Hill Ave
Dorchester, MA 02125-1442

Mailing address

50 Saxton St Apt 3
Dorchester, MA 02125-1439
Phone (978) 888-7041

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151211000136 MA Practitioner - Chiropractic 6103127568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

337 Belgrade Ave
Roslindale, MA 02131-2757
Phone (857) 273-4162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3184MAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Naturally, Inc. Chiropractor CurrentSince Jan 27, 2018 Accepting new patients
Savin Hill Family Chiropractic, Inc Chiropractor Past Accepting new patients

Locations

337 Belgrade Ave
Roslindale, MA 02131
Phone (857) 273-3956

Organizations & group practices 2

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": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1396982245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SAXTON ST APT 3",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021251439",
            "telephone_number": "978-888-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SAVIN HILL AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021251442",
            "telephone_number": "617-506-1872",
            "fax_number": "617-506-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMONTI",
        "first_name": "MARSELLA",
        "middle_name": "L",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-14",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.