Active NPI
Chiropractic Mobile Services,LLC
- Chiropractor
- Standish, ME
National Provider Identifier
1083756241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CR1174
- Legal business name
- CHIROPRACTIC MOBILE SERVICES,LLC
- Practice address
- 18 Deer HL N
Standish, ME 04084-6368 - Phone
- (207) 522-6801
- Fax
- (207) 221-1299
- NPI assigned
- Feb 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory A. Golliday, D.C.
- Title
- Owner Provider
- Phone
- (207) 522-6801
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CR1174 | ME | Primary |
Addresses
Primary practice location
18 Deer HL N
Standish, ME 04084-6368
Mailing address
PO Box 538
Standish, ME 04084-0538
Phone (207) 522-6801
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA35816 | Other | ME | HARVARD PILGRIM PROVIDER |
| 061478 | Other | ME | ANTHEM BCBSME PROVIDER ID |
| 2076096 | Other | ME | CIGNA PROVIDER ID |
| 7786093 | Other | ME | AETNA PROVIDER ID |
National Provider Directory
National Provider DirectoryLocations
320 Ossipee Trl W
Standish, ME 04084
Phone (207) 642-2273
111 Ossipee Trl E
Ste 1146
Standish, ME 04084
Phone (207) 642-2273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275004800000",
"number": "1083756241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 538",
"city": "STANDISH",
"state": "ME",
"postal_code": "040840538",
"telephone_number": "207-522-6801",
"fax_number": "207-221-1299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 DEER HL N",
"city": "STANDISH",
"state": "ME",
"postal_code": "040846368",
"telephone_number": "207-522-6801",
"fax_number": "207-221-1299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIROPRACTIC MOBILE SERVICES,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-13",
"last_updated": "2010-05-28",
"status": "A",
"authorized_official_last_name": "GOLLIDAY",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "OWNER PROVIDER",
"authorized_official_telephone_number": "207-522-6801",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "ME",
"license": "CR1174",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM PROVIDER",
"identifier": "AA35816",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBSME PROVIDER ID",
"identifier": "061478",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER ID",
"identifier": "2076096",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER ID",
"identifier": "7786093",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Standish, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.