Active NPI
Jeffrey S Slocum, D.C.
- Chiropractor
- Brunswick, ME
National Provider Identifier
1104815224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CR912
- Practice address
- 26 Bath Rd
Suite #1
Brunswick, ME 04011-2618 - Phone
- (207) 725-4222
- Fax
- (207) 319-7046
- NPI assigned
- Oct 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CR912 | ME | Primary |
Addresses
Primary practice location
26 Bath Rd
Suite #1
Brunswick, ME 04011-2618
Mailing address
26 Bath Rd
Suite #1
Brunswick, ME 04011-2618
Phone (207) 725-4222
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132180000 | Medicaid | ME | |
| M21506 | Other | ME | CIGNA |
| 2243348 | Other | ME | AETNA HMO |
| 034535 | Other | ME | BCBS |
| M24165 | Other | ME | HEALTHSOURCE |
| MGD920 | Other | ME | HARVARD PILGRIM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CR912 | ME | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holland Chiropractic Center | Chiropractor | Past | Accepting new patients |
| Holly Johantgen Brown, PA | Past | Accepting new patients | |
| Glenn J. Flaming MPT | Past | Accepting new patients | |
| Slocum Family Chiropractic PA | Chiropractor | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Chiropractor
- Bath, ME
- NPI 1477568285
-
- Physical Therapist
- Damariscotta, ME
- NPI 1225168339
-
- Acupuncturist
- Brunswick, ME
- NPI 1134676133
-
- Chiropractor
- Brunswick, ME
- NPI 1376919225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305763200000",
"number": "1104815224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 BATH RD",
"address_2": "SUITE #1",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112618",
"telephone_number": "207-725-4222",
"fax_number": "207-319-7046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 BATH RD",
"address_2": "SUITE #1",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112618",
"telephone_number": "207-725-4222",
"fax_number": "207-319-7046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOCUM",
"first_name": "JEFFREY",
"middle_name": "S",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-20",
"last_updated": "2011-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ME",
"license": "CR912",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "132180000",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "M21506",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2243348",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "034535",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSOURCE",
"identifier": "M24165",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "MGD920",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.