Organization Active NPI

Unbound Potential Chiropractic LLC

  • Chiropractor
  • Scarborough, ME
National Provider Identifier
1447841705
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
UNBOUND POTENTIAL CHIROPRACTIC LLC
Practice address
162 US Route 1 Ste 4B
Scarborough, ME 04074-8975
Phone
(207) 303-0057
NPI assigned
Jan 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Authorized official

Name
Casey Lynn WintersNPI 1790374130
Title
Chiropractor
Phone
(218) 556-9395

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

162 US Route 1 Ste 4B
Scarborough, ME 04074-8975

Mailing address

91 Foxcroft Dr
Scarborough, ME 04074-8735

National Provider Directory

National Provider Directory

Locations

162 US Route 1
Ste 4B
Scarborough, ME 04074
Phone (207) 303-0057

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1447841705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 FOXCROFT DR",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 US ROUTE 1 STE 4B",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748975",
            "telephone_number": "207-303-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNBOUND POTENTIAL CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "WINTERS",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "218-556-9395"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.