Individual provider Active NPI

George E Skala, DC

  • Chiropractor
  • Bucksport, ME
National Provider Identifier
1295768752
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR1369 Issued in ME
Practice address
65 Main St
Bucksport, ME 04416-4025
Phone
(207) 567-4264
Fax
(207) 567-4264
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CR1369 ME Primary

Addresses

NPPES NPI Registry

Primary practice location

65 Main St
Bucksport, ME 04416-4025

Mailing address

Maine Coast Chiropractic
PO Box 155
Stockton Springs, ME 04981
Phone (207) 469-8892

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
187220000MedicaidME
060720OtherMEBLUECROSS BLUE SHIELD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 5, 2018.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1295768752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MAINE COAST CHIROPRACTIC",
            "address_2": "PO BOX 155",
            "city": "STOCKTON SPRINGS",
            "state": "ME",
            "postal_code": "04981",
            "telephone_number": "207-469-8892",
            "fax_number": "888-365-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MAIN ST",
            "city": "BUCKSPORT",
            "state": "ME",
            "postal_code": "044164025",
            "telephone_number": "207-567-4264",
            "fax_number": "207-567-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKALA",
        "first_name": "GEORGE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187220000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "060720",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bucksport, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.