Active NPI
Thomas P. O'Malley, D.C.
- Chiropractor
- North Grafton, MA
National Provider Identifier
1467588426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2556
- Practice address
- 80 Worcester St
Suite#2
North Grafton, MA 01536-1041 - Phone
- (508) 839-0040
- Fax
- (508) 839-0043
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 2556 | MA | Primary |
Addresses
Primary practice location
80 Worcester St
Suite#2
North Grafton, MA 01536-1041
Mailing address
80 Worcester St
Suite#2
North Grafton, MA 01536-1041
Phone (508) 839-0040
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7261412 | Other | MA | AETNA |
| 043579486 | Other | MA | TAX IDENTIFICATION NUMBER |
| 2046485 | Other | MA | FIRST HEALTH CCN |
| 351415 | Other | MA | HARVARD PILGRIM HEALTHCAR |
| Y36831 | Other | MA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060425000460 | MA | Practitioner - Chiropractic | 4880604651 | Practice locations: North Grafton, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
80 Worcester St
Suite 2
North Grafton, MA 01536-1042
Phone (508) 839-0040
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2556 | MA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| O'Malley Family Chiropractic | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- North Grafton, MA
- NPI 1164558144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289347200000",
"number": "1467588426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 WORCESTER ST",
"address_2": "SUITE#2",
"city": "NORTH GRAFTON",
"state": "MA",
"postal_code": "015361041",
"telephone_number": "508-839-0040",
"fax_number": "508-839-0043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 WORCESTER ST",
"address_2": "SUITE#2",
"city": "NORTH GRAFTON",
"state": "MA",
"postal_code": "015361041",
"telephone_number": "508-839-0040",
"fax_number": "508-839-0043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'MALLEY",
"first_name": "THOMAS",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2010-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "2556",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7261412",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "043579486",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH CCN",
"identifier": "2046485",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCAR",
"identifier": "351415",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y36831",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Grafton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.