Individual provider Active NPI

Kenneth Cayer, D.C.

  • Chiropractor
  • Scarborough, ME
National Provider Identifier
1144385329
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR1095 Issued in ME
Practice address
400 Enterprise Dr
Ste 2
Scarborough, ME 04074-7663
Phone
(207) 883-6630
Fax
(207) 883-5996
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CR1095 ME Primary

Addresses

Primary practice location

400 Enterprise Dr
Ste 2
Scarborough, ME 04074-7663

Mailing address

400 Enterprise Dr
Ste 2
Scarborough, ME 04074-7663
Phone (207) 883-6630

Other identifiers 1

IdentifierTypeStateIssuer
206080099MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 Enterprise Dr
Suite 2
Scarborough, ME 04074-7663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Portland Chiropractic, Inc. Chiropractor CurrentSince Jul 27, 2011 Accepting new patients
A Better Way to Live - Family Wellness Center Chiropractor PastSince Mar 21, 2012 Accepting new patients

Locations

400 Enterprise Dr
Ste 2
Scarborough, ME 04074
Phone (207) 883-6630

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1144385329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ENTERPRISE DR",
            "address_2": "STE 2",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747663",
            "telephone_number": "207-883-6630",
            "fax_number": "207-883-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ENTERPRISE DR",
            "address_2": "STE 2",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747663",
            "telephone_number": "207-883-6630",
            "fax_number": "207-883-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAYER",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206080099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.