Matthew James Mallen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

681 Issued in MA

Practice address

1214 Bennington St
East Boston, MA 02128-1203

Phone

(617) 569-6607

Fax

(617) 569-8302

NPI assigned

Oct 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Orient Heights Chiropractic Office

  • Chiropractor
  • East Boston, MA
  • NPI 1225105901
  NPD (past) Authorized official

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1942498852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 BENNINGTON ST",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281203",
            "telephone_number": "617-569-6607",
            "fax_number": "617-569-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 BENNINGTON ST",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281203",
            "telephone_number": "617-569-6607",
            "fax_number": "617-569-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLEN",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-05",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARDPILGRIM HEALTHCARE",
            "identifier": "351011",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7909287001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MA",
            "identifier": "Y35466",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "714763",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "076391",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1601776",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Madrid
• Charles Maggio, O.D.
• Stylianos Maheras, MD
• Wai Ying Mak
• Erin Regan Malenick, RN, NP-C
• Michael A Mancusi, LICSW
• John Joseph Manganaro, LCSW
• Liliana Mantilla, LMHC
• Kelly Connolly Marcella, LICSW
• Yardley Marcelluy

• Chiropractor in East Boston, MA
• Providers in East Boston, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.