Organization Active NPI

Primecare Chiropractic, Inc.

  • Chiropractor
  • Malden, MA
National Provider Identifier
1487208633
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PRIMECARE CHIROPRACTIC, INC.
Practice address
Primecare Chiropractic, Inc.
600 Main Street
Malden, MA 02148-3919
Phone
(857) 410-1800
Fax
(781) 537-6462
NPI assigned
Jul 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Authorized official

Name
James Moxley
Title
President, Owner
Phone
(857) 233-1713

Specialties & licenses 1

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

Addresses

Primary practice location

Primecare Chiropractic, Inc.
600 Main Street
Malden, MA 02148-3919

Mailing address

PO Box 549
Malden, MA 02148-0013
Phone (857) 410-1800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260109002491 MA Part B Supplier - Clinic/Group Practice 4284110156 Receives reassigned benefits from 1 practitioner
Practice locations: Malden, MA

National Provider Directory

National Provider Directory

Locations

433 Broadway
Ste G
Everett, MA 02149

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": "1564099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1487208633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021480013",
            "telephone_number": "857-410-1800",
            "fax_number": "791-537-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PRIMECARE CHIROPRACTIC, INC.",
            "address_2": "600 MAIN STREET",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021483919",
            "telephone_number": "857-410-1800",
            "fax_number": "781-537-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-26",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "MOXLEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "857-233-1713"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malden, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; 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.