Active NPI
Cindy A Bouchard, D.C.
- Chiropractor
- Caribou, ME
National Provider Identifier
1376688200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CR1098
- Practice address
- 42 High St
Caribou, ME 04736-2709 - Phone
- (207) 493-0900
- Fax
- (207) 493-7800
- NPI assigned
- Feb 20, 2007
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CR1098 | ME | Primary |
Addresses
Primary practice location
42 High St
Caribou, ME 04736-2709
Mailing address
42 High St
Caribou, ME 04736-2709
Phone (207) 493-0900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 034516 | Other | ME | ANTHEM BLUECROSS AND BLUE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CR1098 | ME | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1376688200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 HIGH ST",
"city": "CARIBOU",
"state": "ME",
"postal_code": "047362709",
"telephone_number": "207-493-0900",
"fax_number": "207-493-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 HIGH ST",
"city": "CARIBOU",
"state": "ME",
"postal_code": "047362709",
"telephone_number": "207-493-0900",
"fax_number": "207-493-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUCHARD",
"first_name": "CINDY",
"middle_name": "A",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ME",
"license": "CR1098",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUECROSS AND BLUE",
"identifier": "034516",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Caribou, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.