Individual provider Active NPI

Richard N. Southiere, DC

  • Chiropractor
  • Augusta, ME
National Provider Identifier
1003964123
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
557 Issued in ME
Practice address
46 Bangor St
Augusta, ME 04330-4804
Phone
(207) 622-0131
Fax
(207) 622-2144
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 557 ME Primary

Addresses

Primary practice location

46 Bangor St
Augusta, ME 04330-4804

Mailing address

46 Bangor St
Augusta, ME 04330-4804
Phone (207) 622-0131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111110000135 ME Practitioner - Chiropractic 9739352626 Reassigns benefits to 1 organization
Practice locations: Augusta, ME

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
557MEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Knox Chiropractic PLLC Chiropractor CurrentSince Feb 21, 2025 Accepting new patients

Locations

46 Bangor St
Ste 2
Augusta, ME 04330
Phone (207) 622-0131

46 Bangor St
Augusta, ME 04330
Phone (207) 622-0131

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1003964123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 BANGOR ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043304804",
            "telephone_number": "207-622-0131",
            "fax_number": "207-622-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 BANGOR ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043304804",
            "telephone_number": "207-622-0131",
            "fax_number": "207-622-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHIERE",
        "first_name": "RICHARD",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.