Active NPI
Christine Mantakara
- Acupuncturist
- Brighton, MA
National Provider Identifier
1841524980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 237785
- Practice address
- 167 Corey Rd
Suite205
Brighton, MA 02135-8214 - Phone
- (617) 879-9992
- NPI assigned
- Sep 22, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 237785 | MA | Primary |
Addresses
Primary practice location
167 Corey Rd
Suite205
Brighton, MA 02135-8214
Mailing address
21 Whitlowe Rd
West Newton, MA 02465-1041
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 237785 | MA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253577600000",
"number": "1841524980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 WHITLOWE RD",
"city": "WEST NEWTON",
"state": "MA",
"postal_code": "024651041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "167 COREY RD",
"address_2": "SUITE205",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021358214",
"telephone_number": "617-879-9992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANTAKARA",
"first_name": "CHRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-22",
"last_updated": "2009-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MA",
"license": "237785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brighton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.