Louis Jacobs, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CR1364 Issued in ME

Practice address

138 Saint John St
Portland, ME 04102-3021

Phone

(207) 774-6251

Fax

(207) 774-6252

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2002

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417034992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 SAINT JOHN ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023021",
            "telephone_number": "207-774-6251",
            "fax_number": "207-774-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 SAINT JOHN ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023021",
            "telephone_number": "207-774-6251",
            "fax_number": "207-774-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "LOUIS",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Christopher Jackson, MD
• Sydney Michael Emily Jackson, RPH
• Tara Jackson, CPO
• Jacobs Chiropractic Acupuncture, P.a.
• Chester Jacobs, DO
• Max A. Jacobs, D.C.
• Nicholas Jacobs, LMT
• Alexis Jacobson
• Elizabeth Broadaway Jacobson, MS OTR/L
• Linda Harmon Jacobson, APRN CNS

• Chiropractor in Portland, ME
• Providers in Portland, 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, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.