Organization Active NPI

Boulet-Steele Chiropractic & Acupuncture Center, P.a.

Doing business as Boulet-Steele Chiropractic Center

  • Chiropractor
  • Lewiston, ME
National Provider Identifier
1144402223
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BOULET-STEELE CHIROPRACTIC & ACUPUNCTURE CENTER, P.A.
Doing business as
Boulet-Steele Chiropractic Center
Practice address
675 Main St
Suite 18
Lewiston, ME 04240-5802
Phone
(207) 278-2117
Fax
(207) 782-6176
NPI assigned
Nov 30, 2007
Last updated
Nov 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Dr. Kathy Ann Boulet, DCNPI 1790844850
Title
President
Phone
(207) 782-1171

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

675 Main St
Suite 18
Lewiston, ME 04240-5802

Mailing address

675 Main St
Suite 18
Lewiston, ME 04240-5802
Phone (207) 278-2117

Other names 1

  • Boulet-Steele Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100627000019 ME Part B Supplier - Clinic/Group Practice 5193856656 Receives reassigned benefits from 1 practitioner
Practice locations: Lewiston, ME

National Provider Directory

National Provider Directory

Locations

675 Main St
Ste 18
Lewiston, ME 04240
Phone (207) 278-2117

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1144402223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 MAIN ST",
            "address_2": "SUITE 18",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405802",
            "telephone_number": "207-278-2117",
            "fax_number": "207-782-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 MAIN ST",
            "address_2": "SUITE 18",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405802",
            "telephone_number": "207-278-2117",
            "fax_number": "207-782-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULET-STEELE CHIROPRACTIC & ACUPUNCTURE CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "BOULET",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-782-1171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boulet-Steele Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 30, 2007; 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.