Old Orchard Beach Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CR1354 Issued in ME

Legal business name

OLD ORCHARD BEACH CHIROPRACTIC, INC.

Practice address

155 Saco Ave Ste A2
Old Orchard Beach, ME 04064-1600

Phone

(207) 934-4600

Fax

(207) 934-4606

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Roy Stephen Bryant III, D.C.

Title

Owner

Phone

(207) 934-4600

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Roy Stephen Bryant, III, D.C.

  • Chiropractor
  • Old Orchard Beach, ME
  • NPI 1447369434
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1376765750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 SACO AVE STE A2",
            "city": "OLD ORCHARD BEACH",
            "state": "ME",
            "postal_code": "040641600",
            "telephone_number": "207-934-4600",
            "fax_number": "207-934-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 SACO AVE STE A2",
            "city": "OLD ORCHARD BEACH",
            "state": "ME",
            "postal_code": "040641600",
            "telephone_number": "207-934-4600",
            "fax_number": "207-934-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD ORCHARD BEACH CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-934-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "023110",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Milestone Foundation Inc
• Tina L Morrison, CI/CT, NAD V, SC:L
• Marina Narowetz, DDS
• New Acadia Solutions LLC.
• North Shore Behavioral Health LLC
• Old Orchard Beach Family Dentistry
• Old Orchard Beach School Department
• Joseph Parent
• Jaimie Lynn Perry-Hudson, LCPC-C
• Katrina M Records

• Chiropractor in Old Orchard Beach, ME
• Providers in Old Orchard Beach, ME by specialty
• Chiropractor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.