Organization Active NPI

Melrose Family Chiropractic & Sports Injury Centre, Inc

  • Orthopedic Chiropractor
  • Melrose, MA
National Provider Identifier
1841313582
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
Legal business name
MELROSE FAMILY CHIROPRACTIC & SPORTS INJURY CENTRE, INC
Practice address
653 Main St
Melrose, MA 02176-3101
Phone
(781) 665-1497
Fax
(781) 662-7111
NPI assigned
Apr 9, 2007
Last updated
Aug 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Authorized official

Name
Dr. David Mark Swensen, D.C.NPI 1649357963
Title
Owner
Phone
(781) 665-1497

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X Primary

Addresses

Primary practice location

653 Main St
Melrose, MA 02176-3101

Mailing address

653 Main St
Melrose, MA 02176-3101
Phone (781) 665-1497

Other identifiers 2

IdentifierTypeStateIssuer
609766OtherMATUFTS
Y39081OtherMABLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110813000002 MA Part B Supplier - Clinic/Group Practice 0345419081 Receives reassigned benefits from 2 practitioners
Practice locations: Melrose, MA

National Provider Directory

National Provider Directory

Locations

653 Main St
Melrose, MA 02176
Phone (781) 665-1497

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1841313582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763101",
            "telephone_number": "781-665-1497",
            "fax_number": "781-662-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763101",
            "telephone_number": "781-665-1497",
            "fax_number": "781-662-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELROSE FAMILY CHIROPRACTIC & SPORTS INJURY CENTRE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "SWENSEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-665-1497",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "609766",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y39081",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.