Organization Active NPI

Maine Integrative Chiropractic

  • Chiropractor
  • Belfast, ME
National Provider Identifier
1366730178
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR1266 Issued in ME
Legal business name
MAINE INTEGRATIVE CHIROPRACTIC
Practice address
8 Jesse Robbins Rd
Belfast, ME 04915-7510
Phone
(207) 338-8994
Fax
(207) 338-0198
NPI assigned
Jul 13, 2011
Last updated
Jul 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Authorized official

Name
Ms. Tamara S. Kennard, D.C.NPI 1629001029
Title
President/Owner D.C.
Phone
(207) 338-8994

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 CR1266 ME Primary

Addresses

Primary practice location

8 Jesse Robbins Rd
Belfast, ME 04915-7510

Mailing address

8 Jesse Robbins Rd
Belfast, ME 04915-7510
Phone (207) 338-8994

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111229000716 ME Part B Supplier - Clinic/Group Practice 3678749348 Receives reassigned benefits from 4 practitioners
Practice locations: Belfast, ME

National Provider Directory

National Provider Directory

Locations

8 Jesse Robbins Rd
Belfast, ME 04915
Phone (207) 338-8994

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310515200000",
    "number": "1366730178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 JESSE ROBBINS RD",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049157510",
            "telephone_number": "207-338-8994",
            "fax_number": "207-338-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 JESSE ROBBINS RD",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049157510",
            "telephone_number": "207-338-8994",
            "fax_number": "207-338-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE INTEGRATIVE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-13",
        "last_updated": "2011-07-13",
        "status": "A",
        "authorized_official_last_name": "KENNARD",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER D.C.",
        "authorized_official_telephone_number": "207-338-8994",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belfast, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.