Casco Bay Chiropractic, PA.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CR1335 Issued in ME

Legal business name

CASCO BAY CHIROPRACTIC, PA.

Practice address

269A US Route One
Cumberland Foreside, ME 04110-1329

Phone

(207) 829-1200

Fax

(207) 829-1201

NPI assigned

Aug 21, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Mark Redmond, D.C.NPI 1255488243

Title

President

Phone

(207) 829-1200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 1

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

• Stephen M Redmond, D.C.

  • Chiropractor
  • Cumberland Foreside, ME
  • NPI 1255488243
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1295967347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269A US ROUTE ONE",
            "city": "CUMBERLAND FORESIDE",
            "state": "ME",
            "postal_code": "041101329",
            "telephone_number": "207-829-1200",
            "fax_number": "207-829-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269A US ROUTE ONE",
            "city": "CUMBERLAND FORESIDE",
            "state": "ME",
            "postal_code": "041101329",
            "telephone_number": "207-829-1200",
            "fax_number": "207-829-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCO BAY CHIROPRACTIC, PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-21",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "REDMOND",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-829-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Cumberland Foreside, ME
• Providers in Cumberland Foreside, ME by specialty
• Chiropractor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; 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.