Individual provider Active NPI

Deborah A Mager, D.C.,

  • Neurology Chiropractor
  • Beverly, MA
National Provider Identifier
1801953062
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
524 Issued in MA
Practice address
139 Elliott St
Beverly, MA 01915-3205
Phone
(978) 922-1730
Fax
(978) 922-9664
NPI assigned
Jan 3, 2007
Last updated
Nov 24, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 524 MA Primary
Orthopedic Chiropractor 111NX0800X 524 MA

Addresses

Primary practice location

139 Elliott St
Beverly, MA 01915-3205

Mailing address

139 Elliott St
Beverly, MA 01915-3205
Phone (978) 922-1730

Other identifiers 6

IdentifierTypeStateIssuer
712354OtherMATUFTS HEALTHCARE
1613243MedicaidMA
71650OtherMAAETNA
20819101OtherMACIGNA HEALTHCARE
Y35347OtherMABC BS OF MA
44-00362OtherMDUNITED HEALTHCARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071022000457 MA Practitioner - Chiropractic 9335235365 Practice locations: Beverly, MA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

139 Elliot St
Beverly, MA 01915-3205
Phone (978) 922-1605

139 Elliott St
Beverly, MA 01915-3205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
524MAMDOrthopedic Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah a. Mager, DC PC Neurology PastSince Jan 1, 1990 Accepting new patients
Dr. Deborah Mager PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 2

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290556800000",
    "number": "1801953062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 ELLIOTT ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019153205",
            "telephone_number": "978-922-1730",
            "fax_number": "978-922-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 ELLIOTT ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019153205",
            "telephone_number": "978-922-1730",
            "fax_number": "978-922-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGER",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2010-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "MA",
            "license": "524",
            "primary": true
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "MA",
            "license": "524",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTHCARE",
            "identifier": "712354",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1613243",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "71650",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "20819101",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF MA",
            "identifier": "Y35347",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "44-00362",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.