Chiropractic Clinic of Gorham PC Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CR1453 Issued in ME

Legal business name

CHIROPRACTIC CLINIC OF GORHAM PC INC

Practice address

8 Elm St
Gorham, ME 04038-1506

Phone

(207) 839-6800

NPI assigned

Jul 19, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Robert Lavoie, D.C.NPI 1538257951

Title

Owner

Phone

(207) 839-6800

Specialties & licenses 1

Addresses

Other names 1

• Chiropractic Clinic of Gorham Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Lawrence Lavoie, D.C.

  • Chiropractor
  • Gorham, ME
  • NPI 1538257951
  Medicare reassignment NPD Authorized official
• Diane Marie Pierce, LMT

  • Massage Therapist
  • Gorham, ME
  • NPI 1013204494
  NPD (past)

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1194038232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ELM ST",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 ELM ST",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381506",
            "telephone_number": "207-839-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC CLINIC OF GORHAM PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "LAVOIE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-839-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Clinic of Gorham",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sean P Carey, DO
• Aimee Joy Cartier, MS
• Thomas Philip Caswell
• Tyler Chamberlin, DPT
• Chelsea Feeney, LCSW
• Emily Brooke Clark, PHARMD
• Kimberly L Clark, OT
• Andrew Coffin, BHP, DSP, CRMA
• Community Pharmacies LLC.
• Community Pharmacies, LLC.

• Chiropractor in Gorham, ME
• Providers in Gorham, ME by specialty
• Chiropractor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.