Active NPI
David James Metcalf, DC
- Chiropractor
- Winthrop, ME
National Provider Identifier
1043310980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CR2252
- Practice address
- 1354 US Route 202
Winthrop, ME 04364-3821 - Phone
- (207) 377-2151
- NPI assigned
- Sep 22, 2006
- Last updated
- Oct 30, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-04546 | KS | |
| Chiropractor | 111N00000X | CR2252 | ME | Primary |
| Rehabilitation Chiropractor | 111NR0400X | 10690 | TX |
Addresses
Primary practice location
1354 US Route 202
Winthrop, ME 04364-3821
Mailing address
1354 US Route 202
Winthrop, ME 04364
Phone (207) 377-2151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100327400A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
90 Main Ave
Gardiner, ME 04345-2176
Phone (207) 582-2222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-04546 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gardiner Family Chiropractic PC | Chiropractor | Current | Accepting new patients |
| Gardiner Family Chiropractic | Chiropractor | Current | Accepting new patients |
| Hoyt Chiropractic LLC | Chiropractor | Past | Accepting new patients |
| Hoyt Chiropractic Center PC | Chiropractor | Past | Accepting new patients |
Locations
90 Main Ave
Gardiner, ME 04345
Phone (207) 582-2222
Organizations & group practices 4
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.
-
- Chiropractor
- Gardiner, ME
- NPI 1396074431
-
- Chiropractor
- Gardiner, ME
- NPI 1457374803
-
- Chiropractor
- Winthrop, ME
- NPI 1760788442
-
- Chiropractor
- Winthrop, ME
- NPI 1083266894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1043310980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1354 US ROUTE 202",
"city": "WINTHROP",
"state": "ME",
"postal_code": "04364",
"telephone_number": "207-377-2151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1354 US ROUTE 202",
"city": "WINTHROP",
"state": "ME",
"postal_code": "043643821",
"telephone_number": "207-377-2151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METCALF",
"first_name": "DAVID",
"middle_name": "JAMES",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-04546",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ME",
"license": "CR2252",
"primary": true
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "TX",
"license": "10690",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100327400A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winthrop, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.