NPIMap

Organization Active NPI

Metro-West Neurological and Musculoskeletal Associates Management Corp

  • Chiropractor
  • Waltham, MA
National Provider Identifier
1740475565
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
METRO-WEST NEUROLOGICAL AND MUSCULOSKELETAL ASSOCIATES MANAGEMENT CORP
Practice address
88 Maple St
Suite a
Waltham, MA 02453-4471
Phone
(781) 891-8388
Fax
(781) 894-2866
NPI assigned
Sep 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Authorized official

Name
Dr. Kevin Jerome Mulhern, DC
Title
Chiropractic Physician
Phone
(781) 891-8388

Specialties & licenses 1

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

Addresses

Primary practice location

88 Maple St
Suite a
Waltham, MA 02453-4471

Mailing address

88 Maple St
Suite a
Waltham, MA 02453-4471
Phone (781) 891-8388

Other names 1

  • Wellness Center of Waltham Doing business as

National Provider Directory

National Provider Directory

Locations

88 Maple St
Ste A
Waltham, MA 02453
Phone (781) 891-8388

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1740475565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 MAPLE ST",
            "address_2": "SUITE A",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024534471",
            "telephone_number": "781-891-8388",
            "fax_number": "781-894-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 MAPLE ST",
            "address_2": "SUITE A",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024534471",
            "telephone_number": "781-891-8388",
            "fax_number": "781-894-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO-WEST NEUROLOGICAL AND MUSCULOSKELETAL ASSOCIATES MANAGEMENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "MULHERN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "781-891-8388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Center of Waltham",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.