Organization Active NPI

Maine Chirorpractic Health Clinic, PA

  • Chiropractor
  • Lewiston, ME
National Provider Identifier
1326290388
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR844 Issued in ME
Legal business name
MAINE CHIRORPRACTIC HEALTH CLINIC, PA
Practice address
120 Russell St
Lewiston, ME 04240-6053
Phone
(207) 786-0393
Fax
(207) 795-0661
NPI assigned
Oct 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Authorized official

Name
Dr. Luc Jasmin Dionne, D.C.NPI 1982719977
Title
Owner
Phone
(207) 786-0393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CR844 ME Primary

Addresses

Primary practice location

120 Russell St
Lewiston, ME 04240-6053

Mailing address

120 Russell St
Lewiston, ME 04240-6053
Phone (207) 786-0393

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100202000161 ME Part B Supplier - Clinic/Group Practice 9032252804 Receives reassigned benefits from 1 practitioner
Practice locations: Lewiston, ME

National Provider Directory

National Provider Directory

Locations

120 Russell St
Lewiston, ME 04240
Phone (207) 777-3192

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1326290388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 RUSSELL ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042406053",
            "telephone_number": "207-786-0393",
            "fax_number": "207-795-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 RUSSELL ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042406053",
            "telephone_number": "207-786-0393",
            "fax_number": "207-795-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE CHIRORPRACTIC HEALTH CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "DIONNE",
        "authorized_official_first_name": "LUC",
        "authorized_official_middle_name": "JASMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-786-0393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.