Individual provider Active NPI

Kristie J. McLean, D.C.

  • Chiropractor
  • Boston, MA
National Provider Identifier
1639183338
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2563 Issued in MA
Practice address
14 Dorchester St Ste 2
Boston, MA 02127-2154
Phone
(617) 268-0333
Fax
(617) 268-0445
NPI assigned
Jul 28, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2563 MA Primary

Addresses

Primary practice location

14 Dorchester St Ste 2
Boston, MA 02127-2154

Mailing address

14 Dorchester St
Boston, MA 02127-2154
Phone (617) 268-0333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040412000846 MA Practitioner - Chiropractic 0345234563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14 Dorchester St
Suite 2
Boston, MA 02127-2154
Phone (617) 268-0333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2563MAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic & Sports Services of Boston Chiropractor CurrentSince Jan 2, 2008 Accepting new patients

Locations

653 Summer St
Boston, MA 02210
Phone (617) 268-1144

14 Dorchester St
Ste 2
South Boston, MA 02127
Phone (508) 617-0070

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1639183338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 DORCHESTER ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021272154",
            "telephone_number": "617-268-0333",
            "fax_number": "617-268-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 DORCHESTER ST STE 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021272154",
            "telephone_number": "617-268-0333",
            "fax_number": "617-268-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "KRISTIE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.