Individual provider Active NPI

Stephen Flynn, D.C.

  • Chiropractor
  • Lewiston, ME
National Provider Identifier
1497893929
Registry record updated Oct 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR1709 Issued in ME
Practice address
185 Webster St
Ste 15
Lewiston, ME 04240-5500
Phone
(207) 777-7711
Fax
(207) 777-7712
NPI assigned
Feb 5, 2007
Last updated
Oct 4, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CR1709 ME Primary

Addresses

Primary practice location

185 Webster St
Ste 15
Lewiston, ME 04240-5500

Mailing address

185 Webster St
Ste 15
Lewiston, ME 04240-5500
Phone (207) 777-7711

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070620000485 ME Practitioner - Chiropractic 5991804759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Functional Spine Center, PAGroup PAC ID 9830298694, 2 clinicians

Practice addresses (Care Compare)

185 Webster St
Suite 15
Lewiston, ME 04240-5500
Phone (207) 777-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CR1709MEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Spine Center, PA Chiropractor CurrentSince Jun 7, 2007 Accepting new patients

Locations

185 Webster St
#15
Lewiston, ME 04240
Phone (207) 777-7711

185 Webster St
Ste 15
Lewiston, ME 04240
Phone (207) 777-7711

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443916800000",
    "number": "1497893929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 WEBSTER ST",
            "address_2": "STE 15",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405500",
            "telephone_number": "207-777-7711",
            "fax_number": "207-777-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 WEBSTER ST",
            "address_2": "STE 15",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405500",
            "telephone_number": "207-777-7711",
            "fax_number": "207-777-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2015-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2015; 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.