Individual provider Active NPI

Robert Liguori

  • Chiropractor
  • Portland, ME
National Provider Identifier
1013249473
Registry record updated Feb 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR2002 Issued in ME
Practice address
15 Sewall St
Portland, ME 04102-2641
Phone
(207) 347-2205
Fax
(207) 347-2206
NPI assigned
Feb 9, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CR2002 ME Primary

Addresses

Primary practice location

15 Sewall St
Portland, ME 04102-2641

Mailing address

15 Sewall St
Portland, ME 04102-2641
Phone (207) 347-2205

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110623000568 ME Practitioner - Chiropractic 8022296920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Kate Lynch DC LLCGroup PAC ID 5890059265, 3 clinicians

Practice addresses (Care Compare)

15 Sewall St
Portland, ME 04102-2641
Phone (207) 347-2205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kate Lynch DC LLC CurrentSince Aug 1, 2018 Accepting new patients
Amy Mooney, D.C. Chiropractor Past Accepting new patients
Me Integrative Health Services LLC Chiropractor PastSince Aug 1, 2018 Accepting new patients
Brown Chiropractic LLC Chiropractor PastSince Oct 1, 2010 Accepting new patients
Cornerstone Chiropractic & Rehabilitation, PA Chiropractor PastSince Nov 19, 2003 Accepting new patients

Locations

15 Sewall St
Portland, ME 04102
Phone (207) 347-2205

15 Sewall St
Ste 1
Portland, ME 04102

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1013249473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SEWALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022641",
            "telephone_number": "207-347-2205",
            "fax_number": "208-347-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SEWALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022641",
            "telephone_number": "207-347-2205",
            "fax_number": "207-347-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGUORI",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-09",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR2002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.