Individual provider Active NPI

Seraphina Dolores Freund, DC

  • Chiropractor
  • Damariscotta, ME
National Provider Identifier
1265029466
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC36006 Issued in CA
Practice address
75 Elm Street
Damariscotta, ME 04543
Phone
(207) 331-5173
NPI assigned
Dec 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC36006 CA Primary

Addresses

Primary practice location

75 Elm Street
Damariscotta, ME 04543

Mailing address

PO Box 64
Damariscotta, ME 04543-0064
Phone (415) 866-0003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241015003379 ME Practitioner - Chiropractic 7113326547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

75 Elm St
Damariscotta, ME 04543-4077
Phone (207) 331-5173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC36006CAMDChiropractor
36006CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Intrinsic Health LLC Chiropractor CurrentSince Oct 1, 2024 Accepting new patients

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": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1265029466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045430064",
            "telephone_number": "415-866-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 ELM STREET",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "04543",
            "telephone_number": "207-331-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREUND",
        "first_name": "SERAPHINA",
        "middle_name": "DOLORES",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-22",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC36006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Damariscotta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.