NPIMap

Organization Active NPI

New England Chiropractic, LLC

  • Chiropractor
  • Westbrook, ME
National Provider Identifier
1043390081
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR1288 Issued in ME
Legal business name
NEW ENGLAND CHIROPRACTIC, LLC
Practice address
89 Larrabee Rd
Westbrook, ME 04092-4744
Phone
(207) 854-2001
Fax
(207) 854-2004
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Authorized official

Name
Dr. Kelly M Larson-Brunner, D.C.NPI 1508953464
Title
Partner
Phone
(207) 854-2001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CR1284 ME
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CR1288 ME Primary

Addresses

Primary practice location

89 Larrabee Rd
Westbrook, ME 04092-4744

Mailing address

89 Larrabee Rd
Westbrook, ME 04092-4744
Phone (207) 854-2001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061218000108 ME Part B Supplier - Clinic/Group Practice 3476552662 Receives reassigned benefits from 3 practitioners
Practice locations: Westbrook, ME

National Provider Directory

National Provider Directory

Locations

89 Larrabee Rd
Westbrook, ME 04092
Phone (207) 854-2001

Interoperability endpoints

  • Direct secure messaging: drl@nec0002.direct.chirotouch.md

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1043390081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 LARRABEE RD",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924744",
            "telephone_number": "207-854-2001",
            "fax_number": "207-854-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 LARRABEE RD",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924744",
            "telephone_number": "207-854-2001",
            "fax_number": "207-854-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "LARSON-BRUNNER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "207-854-2001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1284",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbrook, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.