Individual provider Active NPI

Mary Jo Powers-Townsend, DC

  • Chiropractor
  • Stoneham, MA
National Provider Identifier
1952453920
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1410 Issued in MA
Practice address
47 Montvale Ave
Stoneham, MA 02180-2416
Phone
(781) 438-4252
Fax
(781) 279-2415
NPI assigned
Jan 18, 2007
Last updated
Jun 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1410 MA Primary

Addresses

Primary practice location

47 Montvale Ave
Stoneham, MA 02180-2416

Mailing address

47 Montvale Ave
Stoneham, MA 02180-2416
Phone (781) 438-4252

Other identifiers 2

IdentifierTypeStateIssuer
Y36276OtherMABLUE CROSS BLUE SHIELD
608845OtherMAACN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051214000310 MA Practitioner - Chiropractic 5991726242 Practice locations: Stoneham, MA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

47 Montvale Ave
Stoneham, MA 02180-2416
Phone (781) 438-4252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1410MAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1952453920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 MONTVALE AVE",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021802416",
            "telephone_number": "781-438-4252",
            "fax_number": "781-279-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 MONTVALE AVE",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021802416",
            "telephone_number": "781-438-4252",
            "fax_number": "781-279-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS-TOWNSEND",
        "first_name": "MARY JO",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y36276",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "608845",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoneham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.