Individual provider Active NPI

David James Metcalf, DC

  • Chiropractor
  • Winthrop, ME
National Provider Identifier
1043310980
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR2252 Issued in ME
Practice address
1354 US Route 202
Winthrop, ME 04364-3821
Phone
(207) 377-2151
NPI assigned
Sep 22, 2006
Last updated
Oct 30, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100327400AMedicaidKS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150119000511 ME Practitioner - Chiropractic 3476592072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gardiner Family Chiropractic PCGroup PAC ID 4385786581, 4 clinicians

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

LicenseStateTypeSpecialty
01-04546KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gardiner Family Chiropractic PC Chiropractor CurrentSince Apr 6, 2024 Accepting new patients
Gardiner Family Chiropractic Chiropractor CurrentSince Apr 6, 2024 Accepting new patients
Hoyt Chiropractic LLC Chiropractor PastSince Jul 1, 2025 Accepting new patients
Hoyt Chiropractic Center PC Chiropractor PastSince Nov 12, 2020 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.

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.

Verify at the official NPI Registry.