Active Chiropractic Limited Liability Company PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CR1313 Issued in ME

Legal business name

ACTIVE CHIROPRACTIC LIMITED LIABILITY COMPANY PA

Practice address

439 Main St
Suite 104
Saco, ME 04072-1528

Phone

(207) 571-8028

Fax

(866) 213-8207

NPI assigned

Nov 1, 2006

Last updated

Jul 8, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brent Thomas Reiche, DCNPI 1780762211

Title

Owner

Phone

(207) 571-8028

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brent Thomas Reiche, DC

  • Chiropractor
  • Saco, ME
  • NPI 1780762211
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1013094291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 MAIN ST",
            "address_2": "SUITE 104",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040721528",
            "telephone_number": "207-571-8028",
            "fax_number": "866-213-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 MAIN ST",
            "address_2": "SUITE 104",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040721528",
            "telephone_number": "207-571-8028",
            "fax_number": "866-213-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE CHIROPRACTIC LIMITED LIABILITY COMPANY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "REICHE",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-571-8028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRAM",
            "identifier": "U56702",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0020752",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "022530",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL EMPLOYEE PLANS",
            "identifier": "05Z044016ME02",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela L Abbott, LMSW-CC
• Karen L Abendroth, LCSW
• Able Healthcare, Inc.
• Able Home Health, Inc (Able Home Health)
• Donna Marie Abram-Cioppa, LCSW
• Greg Adams, MSW
• Adaptive Saco Opco, LLC
• Steven Addario, MSW
• Kara A Adolphsen, LMSW-CC
• Ah Inn Associates LLC (Inn at Atlantic Heights)

• Chiropractor in Saco, ME
• Providers in Saco, ME by specialty
• Chiropractor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.