Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588711766 Individual Practitioner Female Practitioner

Dr. Roberta Ann Stack , DC

Chiropractor • Waltham, MA

Professional Overview & Biography Verified Profile Summary

Dr. Roberta Stack, DC is a registered healthcare professional specializing in Chiropractor in Waltham, MA. Practice services are available at 42 WESTON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

42 Weston St
Suite 1

Waltham, MA 024537756

Telephone 7818911722
Associated Practice Facility / Clinic
🏢 Waltham Diabetes Center, Llc Facility NPI 1851584379

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Waltham, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.5 Yrs
State Avg: 27.6 Yrs
Regional Practice Density
13 Specialists

Practicing in Waltham, MA (1643 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License MA CH 706

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbsma
Y35525 (MA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Elizabeth Taylor , RD, LD, CDE

Dietitian, Registered

NPI 1093908519

Registered Dietitian, Licensed Dietitian, Certified Diabetes Educator

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 42 WESTON ST, SUITE 1, WALTHAM, MA 024537756 (Tel: 7818911722)

📍
Updated Business Mailing Address July 08, 2007

Registered at 42 WESTON ST, SUITE 1, WALTHAM, MA 024537756 (Tel: 7818911722)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERTA STACK, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #CH 706 in MA)

🟢
Initial NPI Registration & Enumeration January 03, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588711766
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 03, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

42 Weston St, Suite 1

Waltham, MA 024537756

Phone: 7818911722

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.