Individual provider Active NPI

Diane Marie Kraszewski, D.C.

  • Chiropractor
  • Eliot, ME
National Provider Identifier
1003214602
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR2205 Issued in ME
Practice address
33 Levesque Dr Ste B
Eliot, ME 03903
Phone
(207) 703-9035
NPI assigned
Dec 12, 2014
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sport, Spine & Rehab, LLC Chiropractor PastSince May 1, 2014 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CR2205 ME Primary

Addresses

NPPES NPI Registry

Primary practice location

33 Levesque Dr Ste B
Eliot, ME 03903

Mailing address

786 Goodwin Rd
Eliot, ME 03903-1204
Phone (207) 752-4907

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 19, 2022.

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1003214602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "786 GOODWIN RD",
            "city": "ELIOT",
            "state": "ME",
            "postal_code": "039031204",
            "telephone_number": "207-752-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 LEVESQUE DR STE B",
            "city": "ELIOT",
            "state": "ME",
            "postal_code": "03903",
            "telephone_number": "207-703-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASZEWSKI",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-12",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR2205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eliot, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.