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MOODY STREET TOTAL HEALTH INC. NPI 1447237185


NPI Information

NPI: 1447237185
Provider Name: MOODY STREET TOTAL HEALTH, INC.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
3 COMMON STREET #2
WALTHAM, MA
ZIP 02451
Phone: (978) 821-7054
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MOODY STREET TOTAL HEALTH, INC. is a chiropractor in Waltham, MA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. MOODY STREET TOTAL HEALTH, INC. NPI is 1447237185. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3 COMMON STREET #2
WALTHAM, MA
ZIP 02451
Phone: (978) 821-7054
Fax: (774) 208-0712

The provider's authorized official is Karen Lynn St.laurent .
The authorized official title is Owner and has the following contact phone number (978) 821-7054.

The enumeration date for this NPI number is 12/23/2005 and was last updated on 7/21/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor2269MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11867401004OTHERMASSACHUSETTSCIGNA HEALTH CARE
2Y39835OTHERMASSACHUSETTSBC/BS OF MA GROUP ID
31612913MEDICAIDMASSACHUSETTS
44404288OTHERMASSACHUSETTSUNITED HEALTH CARE
5351902OTHERMASSACHUSETTSHARVARD PILGRIM
69228734OTHERMASSACHUSETTSPHCS
7974044OTHERMASSACHUSETTSNETWORK HEALTH PLAN
827243OTHERMASSACHUSETTSNEIGHBORHOOD HEALTH PLAN
9Y36596OTHERMASSACHUSETTSBC/BS OF MA INDIVIDUAL ID
10033487192OTHERMASSACHUSETTSHCVM
11798431OTHERMASSACHUSETTSTUFTS HEALTH PLAN
122859278OTHERMASSACHUSETTSAETNA/US HEALTHCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.