Individual provider Active NPI

Todd G Mexico, D.C.

  • Chiropractor
  • Baldwinville, MA
National Provider Identifier
1477673689
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3124 Issued in MA
Practice address
630 Baldwinville Road.
Baldwinville, MA 01436
Phone
(978) 939-8700
Fax
(978) 939-8786
NPI assigned
Mar 30, 2007
Last updated
Oct 2, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 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 3124 MA Primary

Addresses

Primary practice location

630 Baldwinville Road.
Baldwinville, MA 01436

Mailing address

630 Baldwinville Road.
Baldwinville, MA 01436
Phone (978) 939-8700

Other identifiers 3

IdentifierTypeStateIssuer
Y37160OtherMABCBS OF MA
AA92111OtherMAHARVARD PILGRIM
457312OtherMATUFTS HEALTH PLAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070510000077 MA Practitioner - Chiropractic 8527164425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

630 Baldwinville Rd
Baldwinville, MA 01436-1330
Phone (978) 939-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Synaptic Chiropractic Center Chiropractor CurrentSince Apr 20, 2007 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1477673689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 BALDWINVILLE ROAD.",
            "city": "BALDWINVILLE",
            "state": "MA",
            "postal_code": "01436",
            "telephone_number": "978-939-8700",
            "fax_number": "978-939-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 BALDWINVILLE ROAD.",
            "city": "BALDWINVILLE",
            "state": "MA",
            "postal_code": "01436",
            "telephone_number": "978-939-8700",
            "fax_number": "978-939-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEXICO",
        "first_name": "TODD",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA",
            "identifier": "Y37160",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA92111",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "457312",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwinville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.