George Paul De Maertelaere, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CR739 Issued in ME

Practice address

304 Hancock St
Suite 2G
Bangor, ME 04401-6573

Phone

(207) 990-5711

Fax

(207) 990-5712

NPI assigned

Feb 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Northeast Chiropractic Center

  • Chiropractor
  • Bangor, ME
  • NPI 1548587298
  NPD (past) Authorized official

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1265570857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 HANCOCK ST",
            "address_2": "SUITE 2G",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016573",
            "telephone_number": "207-990-5711",
            "fax_number": "207-990-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 HANCOCK ST",
            "address_2": "SUITE 2G",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016573",
            "telephone_number": "207-990-5711",
            "fax_number": "207-990-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE MAERTELAERE",
        "first_name": "GEORGE",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.