Organization Active NPI

Wellness & Chiropractic Care, LLC, PA

  • Chiropractor
  • Brunswick, ME
National Provider Identifier
1114009974
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR668 Issued in ME
Legal business name
WELLNESS & CHIROPRACTIC CARE, LLC, PA
Doing business as
Hagerty Chiropractic
Practice address
298 Maine St
Brunswick, ME 04011-3314
Phone
(207) 729-8656
Fax
(207) 729-7471
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Anita Knopp, D.C.NPI 1700972858
Title
President
Phone
(207) 729-8656

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CR668 ME Primary

Addresses

Primary practice location

298 Maine St
Brunswick, ME 04011-3314

Mailing address

298 Maine St
Brunswick, ME 04011-3314
Phone (207) 729-8656

Other names 1

  • Hagerty Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080118000274 ME Part B Supplier - Clinic/Group Practice 7618974437 Receives reassigned benefits from 1 practitioner
Practice locations: Brunswick, ME

National Provider Directory

National Provider Directory

Locations

298 Maine St
Brunswick, ME 04011
Phone (207) 729-8656

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114009974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 MAINE ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113314",
            "telephone_number": "207-729-8656",
            "fax_number": "207-729-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 MAINE ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113314",
            "telephone_number": "207-729-8656",
            "fax_number": "207-729-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS & CHIROPRACTIC CARE, LLC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KNOPP",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-729-8656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hagerty Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.