NPIMap

Organization Active NPI

Dr. Gary W. Smart

  • Health Service Clinic/Center
  • South Portland, ME
National Provider Identifier
1114175122
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
CR594 Issued in ME
Legal business name
DR. GARY W. SMART
Practice address
597 Main St
South Portland, ME 04106-5412
Phone
(207) 774-7242
NPI assigned
Sep 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Authorized official

Name
Dr. Gary W Smart, DCNPI 1790747046
Title
Owner/President
Phone
(207) 774-7242

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
Health Service Clinic/Center 261QH0100X CR594 ME Primary

Addresses

Primary practice location

597 Main St
South Portland, ME 04106-5412

Mailing address

597 Main St
South Portland, ME 04106-5412
Phone (207) 774-7242

Other names 1

  • South Portland Chiropractic & Massage Center Other name

National Provider Directory

National Provider Directory

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1114175122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 MAIN ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041065412",
            "telephone_number": "207-774-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 MAIN ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041065412",
            "telephone_number": "207-774-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GARY W. SMART",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "SMART",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "207-774-7242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "ME",
            "license": "CR594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Portland Chiropractic & Massage Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.