Active NPI
Kevin Paul Chasse, D.C.
- Sports Physician Chiropractor
- Dover Foxcroft, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- CR864
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208690000 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CR864 | ME | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katahdin Valley Health Center | Current | Accepting new patients | |
| Katahdin Valley Health Center | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Houlton, ME
- NPI 1376618546
-
dba Dover Foxcroft Chiropractic Center
- Chiropractor
- Dover Foxcroft, ME
- NPI 1659552180
-
- Community/Retail Pharmacy
- Brownville, ME
- NPI 1699479311
-
- Federally Qualified Health Center (FQHC)
- Patten, ME
- NPI 1669450524
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.