Active NPI
Kellianna Maya, D.C.
- Chiropractor
- Cambridge, MA
National Provider Identifier
1801080551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3347
- Practice address
- 777 Concord Ave
Ste 301
Cambridge, MA 02138-1053 - Phone
- (617) 876-9099
- Fax
- (617) 876-9011
- NPI assigned
- Sep 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3347 | MA | Primary |
Addresses
Primary practice location
777 Concord Ave
Ste 301
Cambridge, MA 02138-1053
Mailing address
777 Concord Ave
Ste 301
Cambridge, MA 02138-1053
Phone (617) 876-9099
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372032000000",
"number": "1801080551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 CONCORD AVE",
"address_2": "STE 301",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021381053",
"telephone_number": "617-876-9099",
"fax_number": "617-876-9011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 CONCORD AVE",
"address_2": "STE 301",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021381053",
"telephone_number": "617-876-9099",
"fax_number": "617-876-9011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYA",
"first_name": "KELLIANNA",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-05",
"last_updated": "2013-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "3347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.