Individual provider Active NPI

Michelle Rae Houston, D.C.

  • Chiropractor
  • Ellsworth, ME
National Provider Identifier
1437181500
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR1348 Issued in ME
Practice address
97 Beechland Rd Unit 1
Ellsworth, ME 04605-2540
Phone
(207) 664-0013
Fax
(207) 664-0564
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CR1348 ME Primary

Addresses

Primary practice location

97 Beechland Rd Unit 1
Ellsworth, ME 04605-2540

Mailing address

97 Beechland Rd Unit 1
Ellsworth, ME 04605-2540
Phone (207) 664-0013

Other identifiers 1

IdentifierTypeStateIssuer
431592500MedicaidME

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040407000221 ME Practitioner - Chiropractic 3577556364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

97 Beechland Rd
Unit 1
Ellsworth, ME 04605-2540
Phone (207) 664-0013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CR1348MEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ellsworth Chiropractic, PA Chiropractor CurrentSince Mar 1, 2006 Accepting new patients

Locations

97 Beechland Rd
#1
Ellsworth, ME 04605
Phone (207) 664-0013

108 Main St
Ellsworth, ME 04605
Phone (207) 619-4886

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1437181500",
    "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",
            "fax_number": "207-664-0564"
        },
        {
            "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",
            "fax_number": "207-664-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSTON",
        "first_name": "MICHELLE",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431592500",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellsworth, ME

Sources for this page

  • 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.
  • 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.