Individual provider Active NPI

Kevin Paul Chasse, D.C.

  • Sports Physician Chiropractor
  • Dover Foxcroft, ME
National Provider Identifier
1184603847
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
CR864 Issued in ME
Practice address
48 E Main St
Dover Foxcroft, ME 04426-1323
Phone
(207) 538-3700
Fax
(075) 282-8802
NPI assigned
Jan 11, 2006
Last updated
Aug 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X CR864 ME Primary

Addresses

Primary practice location

48 E Main St
Dover Foxcroft, ME 04426-1323

Mailing address

529 S Patten Rd
Patten, ME 04765-3007
Phone (207) 538-3700

Other identifiers 1

IdentifierTypeStateIssuer
208690000MedicaidME

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050111000347 ME Practitioner - Chiropractic 6901854512 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CR864MEMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Katahdin Valley Health Center CurrentSince Mar 7, 2022 Accepting new patients
Katahdin Valley Health Center CurrentSince Mar 7, 2022 Accepting new patients
Katahdin Valley Health Center Past Accepting new patients

Locations

33 Walker St
Ashland, ME 04732
Phone (207) 435-6341

180 Main Rd
Brownville, ME 04414
Phone (207) 965-8700

188 Summer St
Dover Foxcroft, ME 04426
Phone (207) 447-4975

48 E Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-0095

59 Bangor St
Houlton, ME 04730
Phone (207) 532-7161

50 Summer St
Millinocket, ME 04462
Phone (207) 723-6565

30 Houlton St
Patten, ME 04765
Phone (866) 366-5842

529 S Patten Rd
Patten, ME 04765

Interoperability endpoints

  • Direct secure messaging: kevin.chasse.1@7377.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1184603847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 S PATTEN RD",
            "city": "PATTEN",
            "state": "ME",
            "postal_code": "047653007",
            "telephone_number": "207-538-3700",
            "fax_number": "207-528-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 E MAIN ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261323",
            "telephone_number": "207-538-3700",
            "fax_number": "075-282-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASSE",
        "first_name": "KEVIN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "ME",
            "license": "CR864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208690000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover Foxcroft, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.