Individual provider Active NPI

Katherine Caldwell, DC

  • Chiropractor
  • Portland, ME
National Provider Identifier
1316629595
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR2931 Issued in ME
Practice address
949 Brighton Ave Ste 1
Portland, ME 04102-1060
Phone
(207) 548-5741
NPI assigned
Aug 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CR2931 ME Primary
Chiropractor 111N00000X 002289 CT

Addresses

Primary practice location

949 Brighton Ave Ste 1
Portland, ME 04102-1060

Mailing address

949 Brighton Ave Ste 1
Portland, ME 04102-1060

Other practice location 1

162 South St
Bristol, CT 06010-6505
Phone (860) 585-9797

Other practice location 2

15 Sewall St
Portland, ME 04102-2641
Phone (207) 347-2205

Other practice location 3

50 Forest Falls Dr
Yarmouth, ME 04096-6937
Phone (207) 846-5111

Other names 1

  • Katherine Lynch Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240723003854 ME Practitioner - Chiropractic 4284170515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthworx LLCGroup PAC ID 8325405764, 4 clinicians

Practice addresses (Care Compare)

949 Brighton Ave
Portland, ME 04102-1060
Phone (207) 780-1070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002289CTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthworx, LLC Chiropractor CurrentSince May 16, 2024 Accepting new patients
Me Integrative Health Services LLC Chiropractor PastSince May 16, 2024 Accepting new patients
Kate Lynch DC LLC PastSince Feb 25, 2018 Accepting new patients
Bristol Chiropractic & Acupuncture LLC Chiropractor PastSince Jun 14, 2019 Accepting new patients

Locations

949 Brighton Ave
Portland, ME 04102
Phone (207) 780-1070

949 Brighton Ave
Ste 1
Portland, ME 04102
Phone (207) 548-5741

Organizations & group practices 4

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": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1316629595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 BRIGHTON AVE STE 1",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041021060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 BRIGHTON AVE STE 1",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041021060",
            "telephone_number": "207-548-5741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "162 South St",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "CT",
            "postal_code": "060106505",
            "country_code": "US",
            "telephone_number": "860-585-9797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Sewall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041022641",
            "country_code": "US",
            "telephone_number": "207-347-2205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Forest Falls Dr",
            "address_purpose": "LOCATION",
            "city": "Yarmouth",
            "state": "ME",
            "postal_code": "040966937",
            "country_code": "US",
            "telephone_number": "207-846-5111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "KATHERINE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR2931",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "002289",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "LYNCH",
            "credential": "DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.