Individual provider Active NPI

John Fredrick McCarthy Jr., DC

  • Chiropractor
  • Somerville, MA
National Provider Identifier
1629596549
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3517 Issued in MA
Practice address
71 Holland St
Somerville, MA 02144-2733
Phone
(617) 625-8707
NPI assigned
Aug 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3517 MA Primary

Addresses

Primary practice location

71 Holland St
Somerville, MA 02144-2733

Mailing address

98 Front St
Apt 1
Weymouth, MA 02188-1618
Phone (781) 974-2443

Other practice location 1

1 Pleasant St Ste 3
Cohasset, MA 02025-1714
Phone (781) 923-6047

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190128002898 MA Practitioner - Chiropractic 2163769266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Davis Square Chiropractic, PCGroup PAC ID 6103088687, 6 clinicians

Practice addresses (Care Compare)

71 Holland St
Somerville, MA 02144-2733
Phone (617) 625-8707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3517MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Square Chiropractic, PC Chiropractor CurrentSince Jan 2, 2019 Accepting new patients

Locations

71 Holland St
Somerville, MA 02144
Phone (617) 525-8707

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.

NPI Registry JSON

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1629596549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 FRONT ST",
            "address_2": "APT 1",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021881618",
            "telephone_number": "781-974-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 HOLLAND ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442733",
            "telephone_number": "617-625-8707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Pleasant St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Cohasset",
            "state": "MA",
            "postal_code": "020251714",
            "country_code": "US",
            "telephone_number": "781-923-6047",
            "fax_number": "781-923-6056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "JOHN",
        "middle_name": "FREDRICK",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-30",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.