Organization Active NPI

Family Chiropractic Center, PA

  • Chiropractor
  • Lewiston, ME
National Provider Identifier
1124209309
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR1043 Issued in ME
Legal business name
FAMILY CHIROPRACTIC CENTER, PA
Practice address
1485 Lisbon St
Lewiston, ME 04240-3522
Phone
(207) 783-0078
Fax
(207) 783-2809
NPI assigned
Nov 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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

Authorized official

Name
Dr. Philip Andrew McLean, D.C.NPI 1881791580
Title
Owner
Phone
(207) 783-0078

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 CR1043 ME Primary

Addresses

Primary practice location

1485 Lisbon St
Lewiston, ME 04240-3522

Mailing address

1485 Lisbon St
Lewiston, ME 04240-3522
Phone (207) 783-0078

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040415000083 ME Part B Supplier - Clinic/Group Practice 2365437928 Receives reassigned benefits from 1 practitioner
Practice locations: Lewiston, ME

National Provider Directory

National Provider Directory

Locations

1485 Lisbon St
Lewiston, ME 04240
Phone (207) 783-0078

Practitioners & affiliated clinicians

Practitioners 2

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": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1124209309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 LISBON ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042403522",
            "telephone_number": "207-783-0078",
            "fax_number": "207-783-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 LISBON ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042403522",
            "telephone_number": "207-783-0078",
            "fax_number": "207-783-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "MCLEAN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-783-0078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; 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.