NPIMap

Organization Active NPI

Nova Chiropractic Group

  • Chiropractor
  • South Portland, ME
National Provider Identifier
1003152182
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR2103 Issued in ME
Legal business name
NOVA CHIROPRACTIC GROUP
Practice address
118 Maine Mall Rd
South Portland, ME 04106-2309
Phone
(207) 772-1031
Fax
(207) 774-9394
NPI assigned
Dec 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Authorized official

Name
Dr. Heidi Laol Norman, D.C
Title
Owner
Phone
(207) 772-1031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CR2103 ME Primary

Addresses

Primary practice location

118 Maine Mall Rd
South Portland, ME 04106-2309

Mailing address

118 Maine Mall Rd
South Portland, ME 04106-2309
Phone (207) 772-1031

Other identifiers 1

IdentifierTypeStateIssuer
1205975042OtherMEALL OTHER INSURANCE COMPANIES

National Provider Directory

National Provider Directory

Locations

118 Maine Mall Rd
South Portland, ME 04106
Phone (207) 772-1031

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1003152182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MAINE MALL RD",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062309",
            "telephone_number": "207-772-1031",
            "fax_number": "207-774-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MAINE MALL RD",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062309",
            "telephone_number": "207-772-1031",
            "fax_number": "207-774-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA CHIROPRACTIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "LAOL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-772-1031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR2103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL OTHER INSURANCE COMPANIES",
            "identifier": "1205975042",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.