Organization Active NPI

Bay Chiropractic Center, P.a.

  • Chiropractor
  • Rockland, ME
National Provider Identifier
1396777157
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR1039 Issued in ME
Legal business name
BAY CHIROPRACTIC CENTER, P.A.
Practice address
147 Park St Ste C
Rockland, ME 04841-2131
Phone
(207) 596-6700
NPI assigned
Jul 6, 2006
Last updated
Mar 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Dr. Blaine W. Curtis, D.C.NPI 1295767069
Title
Owner
Phone
(207) 596-6700

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
Chiropractor 111N00000X CR1039 ME Primary

Addresses

Primary practice location

147 Park St Ste C
Rockland, ME 04841-2131

Mailing address

147 Park St Ste C
Rockland, ME 04841-2131
Phone (207) 596-6700

Other identifiers 4

IdentifierTypeStateIssuer
129900099MedicaidME
024090OtherMEPROVIDER NUMBER
129900100MedicaidME
MM631601OtherMEMEDICARE BILLING NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080805000512 ME Part B Supplier - Clinic/Group Practice 2466526777 Receives reassigned benefits from 2 practitioners
Practice locations: Rockland, ME

National Provider Directory

National Provider Directory

Locations

147 Park St
Ste C
Rockland, ME 04841
Phone (207) 596-6700

279 Main St
Ste 4
Rockland, ME 04841
Phone (207) 596-6700

Practitioners & affiliated clinicians

Practitioners 2

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": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1396777157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 PARK ST STE C",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412131",
            "telephone_number": "207-596-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 PARK ST STE C",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412131",
            "telephone_number": "207-596-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY CHIROPRACTIC CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "BLAINE",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-596-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129900099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "024090",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129900100",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE BILLING NUMBER",
            "identifier": "MM631601",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.