Individual provider Active NPI

Kimberly A Slade Brier, D.C.

  • Chiropractor
  • Wiscasset, ME
National Provider Identifier
1427031814
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR941 Issued in ME
Practice address
49 Hooper St
Wiscasset, ME 04578-4053
Phone
(207) 882-7600
Fax
(207) 882-4212
NPI assigned
Nov 21, 2005
Last updated
Feb 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CR941 ME Primary

Addresses

Primary practice location

49 Hooper St
Wiscasset, ME 04578-4053

Mailing address

49 Hooper St
Wiscasset, ME 04578-4053
Phone (207) 882-7600

Other identifiers 3

IdentifierTypeStateIssuer
048052OtherMEANTHEM BLUE CROSS
1489568OtherMECIGNA
3822616OtherMEAETNA

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

LicenseStateTypeSpecialty
CR941MEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wiscasset Spine Center LLC Chiropractor PastSince Feb 3, 2005 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1427031814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 HOOPER ST",
            "city": "WISCASSET",
            "state": "ME",
            "postal_code": "045784053",
            "telephone_number": "207-882-7600",
            "fax_number": "207-882-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 HOOPER ST",
            "city": "WISCASSET",
            "state": "ME",
            "postal_code": "045784053",
            "telephone_number": "207-882-7600",
            "fax_number": "207-882-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLADE BRIER",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "048052",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1489568",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3822616",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wiscasset, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.