Individual provider Active NPI

David St Jean, DC

  • Chiropractor
  • Andover, MA
National Provider Identifier
1962822635
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHI3697 Issued in MA
Practice address
2 Dundee Park Dr Ste B07
Andover, MA 01810-3725
Phone
(978) 697-4192
NPI assigned
Apr 22, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHI3697 MA Primary

Addresses

Primary practice location

2 Dundee Park Dr Ste B07
Andover, MA 01810-3725

Mailing address

2 Dundee Park Dr Ste B07
Andover, MA 01810-3725
Phone (978) 697-4192

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200820001122 MA Practitioner - Chiropractic 8628494648 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHI3697MAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
St Jean Consulting, Inc. Chiropractor CurrentSince Nov 24, 2025 Accepting new patients
Martone Chiropractic & Wellness Center PC Chiropractor CurrentSince Jun 1, 2020 Accepting new patients

Locations

2 Dundee Park Dr
Ste B07
Andover, MA 01810
Phone (978) 697-4192

50 Salem St
Bldg B
Lynnfield, MA 01940
Phone (781) 224-0202

1 Teal Rd
Wakefield, MA 01880
Phone (781) 224-0202

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1962822635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DUNDEE PARK DR STE B07",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103725",
            "telephone_number": "978-697-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DUNDEE PARK DR STE B07",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103725",
            "telephone_number": "978-697-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST JEAN",
        "first_name": "DAVID",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-22",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "CHI3697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.