Ellsworth Chiropractic, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CR1348 Issued in ME

Legal business name

ELLSWORTH CHIROPRACTIC, PA

Practice address

97 Beechland Rd Unit 1
Ellsworth, ME 04605-2540

Phone

(207) 664-0013

NPI assigned

Dec 7, 2007

Last updated

Jul 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Houston, DCNPI 1437181500

Title

Owner

Phone

(207) 664-0013

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 1

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.

• Michelle Rae Houston, D.C.

  • Chiropractor
  • Ellsworth, ME
  • NPI 1437181500
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1386827723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 BEECHLAND RD UNIT 1",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046052540",
            "telephone_number": "207-664-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 BEECHLAND RD UNIT 1",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046052540",
            "telephone_number": "207-664-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLSWORTH CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-664-0013",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Ellsworth, ME
• Providers in Ellsworth, ME by specialty
• Chiropractor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.