Individual provider Active NPI

Bea Margarita Serrano

  • Chiropractor
  • South Portland, ME
National Provider Identifier
1134909476
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR2955 Issued in ME
Practice address
210 Western Ave Ste 300
South Portland, ME 04106-2426
Phone
(207) 775-7468
NPI assigned
Oct 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CR2955 ME Primary

Addresses

Primary practice location

210 Western Ave Ste 300
South Portland, ME 04106-2426

Mailing address

210 Western Ave
South Portland, ME 04106-2424
Phone (207) 775-7468

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260316001114 NH Practitioner - Chiropractic 7618328840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine by Design Family Chiropractic LLCGroup PAC ID 3678954054, 2 clinicians

Practice addresses (Care Compare)

540 Lafayette Rd
Unit 102103
Hampton, NH 03842-3344
Phone (603) 399-5443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CR2955MEMDChiropractor
1608NHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spine by Design Family Chiropractic, LLC Chiropractor CurrentSince Dec 31, 2025 Accepting new patients
Innate Family Chiropractic Chiropractor CurrentSince Oct 29, 2023 Accepting new patients

Locations

210 Western Ave
South Portland, ME 04106
Phone (207) 772-4203

210 Western Ave
Ste 300
South Portland, ME 04106
Phone (207) 775-7468

210 Western Ave
Ste 3
South Portland, ME 04106

Organizations & group practices 2

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": "1696377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1134909476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WESTERN AVE",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062424",
            "telephone_number": "207-775-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WESTERN AVE STE 300",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062426",
            "telephone_number": "207-775-7468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "BEA MARGARITA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR2955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.