Individual provider Active NPI

Deanna Louise O'Dwyer-Swensen, D.C.

  • Chiropractor
  • Melrose, MA
National Provider Identifier
1861579195
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1627 Issued in MA
Practice address
653 Main St
Melrose, MA 02176-3101
Phone
(781) 665-1497
Fax
(781) 662-7111
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1627 MA 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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040903000289 MA Practitioner - Chiropractic 4981670668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1627MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Melrose Family Chiropractic & Sports Injury Centre, Inc CurrentSince Jul 1, 2011 Accepting new patients

Locations

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

Organizations & group practices 1

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1861579195",
    "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": {
        "last_name": "O'DWYER-SWENSEN",
        "first_name": "DEANNA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1627",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 3, 2012; 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.