Heather Anna Theriault, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CR2010 Issued in ME

Practice address

358 Main St
Gorham, ME 04038-1314

Phone

(207) 222-2118

Fax

(207) 222-2145

NPI assigned

Feb 10, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Theriault Chiropractic & Associates PC

  • Chiropractor
  • Gorham, ME
  • NPI 1568145076
  Medicare reassignment NPD Authorized official
• Scarborough Family Chiropractic, P.C.

  • Chiropractor
  • Scarborough, ME
  • NPI 1083936538
  NPD (past)

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1083910970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 MAIN ST",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381314",
            "telephone_number": "207-222-2118",
            "fax_number": "207-222-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 MAIN ST",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381314",
            "telephone_number": "207-222-2118",
            "fax_number": "207-222-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THERIAULT",
        "first_name": "HEATHER",
        "middle_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-10",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR2010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "002091902",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madeline Faye Testa
• The Family Center of Maine
• The Integrated Life
• The Maine Chatterbox, LLC
• Theriault Chiropractic & Associates PC
• Melanie Thompson-Clarke, M.AC., LIC.AC.
• Terri Lynn Thompson, LCPC
• Thrive-Maine Behavioral Health, LLC
• Tom Negron, PH.D, PA (tom negron, ph.d.)
• Total Care Services

• Chiropractor in Gorham, ME
• Providers in Gorham, ME by specialty
• Chiropractor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.