Individual provider Active NPI

Jamie Todd Saulter, D.C

  • Chiropractor
  • Waterville, ME
National Provider Identifier
1104877349
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR764 Issued in ME
Practice address
81 Western Ave
Waterville, ME 04901-7338
Phone
(207) 861-8221
Fax
(207) 861-7900
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CR764 ME Primary

Addresses

Primary practice location

81 Western Ave
Waterville, ME 04901-7338

Mailing address

81 Western Ave
Waterville, ME 04901-7338
Phone (207) 861-8221

Other identifiers 1

IdentifierTypeStateIssuer
128570099MedicaidME

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

LicenseStateTypeSpecialty
CR764MEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Saulter Dental Hygiene LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1104877349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 WESTERN AVE",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049017338",
            "telephone_number": "207-861-8221",
            "fax_number": "207-861-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 WESTERN AVE",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049017338",
            "telephone_number": "207-861-8221",
            "fax_number": "207-861-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAULTER",
        "first_name": "JAMIE",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128570099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.