Individual provider Active NPI

Patricia L Cline, DC

  • Chiropractor
  • Bangor, ME
National Provider Identifier
1053353482
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR1569 Issued in ME
Practice address
444 Stillwater Ave
Ste 206
Bangor, ME 04401-3500
Phone
(207) 992-4012
NPI assigned
Jun 11, 2006
Last updated
Jan 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CR1569 ME Primary

Addresses

Primary practice location

444 Stillwater Ave
Ste 206
Bangor, ME 04401-3500

Mailing address

PO Box 1778
Lewiston, ME 04241-1778
Phone (207) 241-8239

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051229000571 ME Practitioner - Chiropractic 9931121274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

444 Stillwater Ave
Suite 204
Bangor, ME 04401-3500
Phone (207) 992-4012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CR1569MEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cline Chiropractic Center LLC Chiropractor CurrentSince Apr 10, 2011 Accepting new patients
Thomas J Vanidestine Jr Chiropractor Past Accepting new patients

Locations

444 Stillwater Ave
Ste 104
Bangor, ME 04401
Phone (207) 951-4758

444 Stillwater Ave
Ste 204
Bangor, ME 04401
Phone (207) 299-1414

Organizations & group practices 2

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": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1053353482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1778",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042411778",
            "telephone_number": "207-241-8239",
            "fax_number": "207-241-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 STILLWATER AVE",
            "address_2": "STE 206",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013500",
            "telephone_number": "207-992-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINE",
        "first_name": "PATRICIA",
        "middle_name": "L",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.