Active NPI
Mallory Page McQuillen, DC
- Chiropractor
- Hanover, MA
National Provider Identifier
1467931048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3625
- Practice address
- 208 Broadway
Hanover, MA 02339-2382 - Phone
- (781) 829-6780
- Fax
- (781) 829-6781
- NPI assigned
- Aug 14, 2018
- Last updated
- Oct 16, 2018
- Sex
- Female
- 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 | 3625 | MA | Primary |
Addresses
Primary practice location
208 Broadway
Hanover, MA 02339-2382
Mailing address
208 Broadway
Hanover, MA 02339-2382
Phone (781) 829-6780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3625 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539648000000",
"number": "1467931048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 BROADWAY",
"city": "HANOVER",
"state": "MA",
"postal_code": "023392382",
"telephone_number": "781-829-6780",
"fax_number": "781-829-6781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 BROADWAY",
"city": "HANOVER",
"state": "MA",
"postal_code": "023392382",
"telephone_number": "781-829-6780",
"fax_number": "781-829-6781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCQUILLEN",
"first_name": "MALLORY",
"middle_name": "PAGE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-14",
"last_updated": "2018-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "3625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.