Individual provider Active NPI

Dean A Chancey, D.C.

  • Chiropractor
  • Farmington, ME
National Provider Identifier
1164547568
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR1102 Issued in ME
Practice address
586 Wilton Rd
Farmington, ME 04938-6137
Phone
(207) 778-0182
Fax
(207) 779-0770
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CR1102 ME Primary

Addresses

Primary practice location

586 Wilton Rd
Farmington, ME 04938-6137

Mailing address

586 Wilton Rd
Farmington, ME 04938-6137
Phone (207) 778-0182

Other identifiers 1

IdentifierTypeStateIssuer
229090001MedicaidME

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050527000203 ME Practitioner - Chiropractic 0648212837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Farmington Chiropractic LLCGroup PAC ID 9436380169, 2 clinicians

Practice addresses (Care Compare)

586 Wilton Rd
Farmington, ME 04938-6137
Phone (207) 778-0182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Farmington Chiropractic, LLC Chiropractor CurrentSince Aug 1, 2013 Accepting new patients

Locations

586 Wilton Rd
Farmington, ME 04938
Phone (207) 778-0182

84 Main St
Skowhegan, ME 04976
Phone (207) 474-7045

Organizations & group practices 1

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378425600000",
    "number": "1164547568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 WILTON RD",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049386137",
            "telephone_number": "207-778-0182",
            "fax_number": "207-779-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 WILTON RD",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049386137",
            "telephone_number": "207-778-0182",
            "fax_number": "207-779-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANCEY",
        "first_name": "DEAN",
        "middle_name": "A",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2013-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "229090001",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.