NPIMap

Organization Active NPI

Michael D & Sheila H Littlefield

Doing business as Mall Road Chiropractic Center

  • Chiropractor
  • South Portland, ME
National Provider Identifier
1073662193
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR565 Issued in ME
Legal business name
MICHAEL D & SHEILA H LITTLEFIELD
Doing business as
Mall Road Chiropractic Center
Practice address
118 Maine Mall Rd
South Portland, ME 04106-2309
Phone
(207) 772-1031
Fax
(207) 774-9394
NPI assigned
Jan 9, 2007
Last updated
Jun 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Sheila H Littlefield, DCNPI 1952394397
Title
Partner
Phone
(207) 772-1031

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
Chiropractor 111N00000X CR566 ME
Chiropractor 111N00000X CR565 ME Primary

Addresses

Primary practice location

118 Maine Mall Rd
South Portland, ME 04106-2309

Mailing address

118 Maine Mall Road
South Portland, ME 04106-2309
Phone (207) 772-1031

Other identifiers 6

IdentifierTypeStateIssuer
002305OtherMEBLUE CROSS BLUE SHEILD
111990199MedicaidME
4404052OtherMETAXONOMY
002304OtherMEBLUE CROSS BLUE SHEILD
111990099MedicaidME
4404051OtherMETAXONOMY

Other names 1

  • Mall Road Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Locations

118 Maine Mall Rd
South Portland, ME 04106
Phone (207) 772-1031

118 Maine Mall Rd
#1
South Portland, ME 04106
Phone (207) 772-1031

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1073662193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MAINE MALL ROAD",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062309",
            "telephone_number": "207-772-1031",
            "fax_number": "207-774-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MAINE MALL RD",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062309",
            "telephone_number": "207-772-1031",
            "fax_number": "207-774-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D & SHEILA H LITTLEFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "LITTLEFIELD",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "207-772-1031",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR566",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "002305",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111990199",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "4404052",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "002304",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111990099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "4404051",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mall Road Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.