Organization Active NPI

The Spa at Boncaldo's

  • Massage Therapist
  • Wollaston, MA
National Provider Identifier
1740500933
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
THE SPA AT BONCALDO'S
Practice address
76 Beale St
Wollaston, MA 02170-2617
Phone
(617) 471-9515
NPI assigned
Jun 10, 2010
Last updated
Jun 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Authorized official

Name
Ms. Alyse Nancy Baker-Boncaldo
Title
Owner/Manger
Phone
(617) 471-9515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X Primary

Addresses

Primary practice location

76 Beale St
Wollaston, MA 02170-2617

Mailing address

76 Beale Street
Wollaston, MA 02170
Phone (617) 471-9515

National Provider Directory

National Provider Directory

Locations

76 Beale St
Wollaston, MA 02170
Phone (617) 471-9515

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1740500933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 BEALE STREET",
            "city": "WOLLASTON",
            "state": "MA",
            "postal_code": "02170",
            "telephone_number": "617-471-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BEALE ST",
            "city": "WOLLASTON",
            "state": "MA",
            "postal_code": "021702617",
            "telephone_number": "617-471-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPA AT BONCALDO'S",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "BAKER-BONCALDO",
        "authorized_official_first_name": "ALYSE",
        "authorized_official_middle_name": "NANCY",
        "authorized_official_title_or_position": "OWNER/MANGER",
        "authorized_official_telephone_number": "617-471-9515",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wollaston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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.