MEDICARE: PRIMECARE CHIROPRACTIC, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1487208633
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIMECARE CHIROPRACTIC, INC.

Provider Business Mailing Address
First Line	:	PO BOX 549
Second Line	:
City	:	MALDEN
State	:	MA
Zip	:	02148-0013
Country	:	US
Telephone Number	:	857-410-1800
Fax Number	:	791-537-6462

Provider Business Practice Location Address
First Line	:	PRIMECARE CHIROPRACTIC, INC.
Second Line	:	600 MAIN STREET
City	:	MALDEN
State	:	MA
Zip	:	02148-3919
Country	:	US
Telephone Number	:	857-410-1800
Fax Number	:	781-537-6462

Authorized Official
Title or Position	:	PRESIDENT, OWNER
Name	:	JAMES MOXLEY
Credential	:
Telephone Number	:	857-233-1713

Provider Enumeration Date	:	07/26/2019
Last Update Date	:	02/06/2026

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