Diane Bottary, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2620 Issued in MA

Practice address

4458 Washington St
Roslindale, MA 02131-3440

Phone

(617) 323-4377

Fax

(617) 323-8077

NPI assigned

Jul 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bottary Chiropractic Professional LLC

  • Chiropractor
  • New Bedford, MA
  • NPI 1427396357
  Medicare reassignment NPD Authorized official
• Merolla Chiropractic Inc

  • Chiropractor
  • Fairhaven, MA
  • NPI 1811023260
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1639198765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 DEWEY RD",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021841204",
            "telephone_number": "781-603-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4458 WASHINGTON ST",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021313440",
            "telephone_number": "617-323-4377",
            "fax_number": "617-323-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTARY",
        "first_name": "DIANE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "Y37008",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "AA8919",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Allen Bly, PTA
• Madeleine Bonneville
• Boston Best Home Care Service Inc
• Boston Medical Center
• Boston Medical Center Corporation
• Esther M Boussicot
• Sean H Bowles, LICAC
• Lindsay K Bowton
• Christa Boyd
• Jennifer Boyden

• Chiropractor in Roslindale, MA
• Providers in Roslindale, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.