Organization Active NPI

Jacobs Chiropractic Acupuncture, P.a.

  • Chiropractor
  • Portland, ME
National Provider Identifier
1508918103
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR1364 Issued in ME
Legal business name
JACOBS CHIROPRACTIC ACUPUNCTURE, P.A.
Practice address
138 Saint John St
Portland, ME 04102-3021
Phone
(207) 774-6251
Fax
(207) 774-6252
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Louis Jacobs, D.C.
Title
President
Phone
(207) 774-6251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CR1364 ME Primary

Addresses

Primary practice location

138 Saint John St
Portland, ME 04102-3021

Mailing address

138 Saint John St
Portland, ME 04102-3021
Phone (207) 774-6251

National Provider Directory

National Provider Directory

Locations

138 Saint John St
Portland, ME 04102
Phone (207) 774-6251

Practitioners & affiliated clinicians

Practitioners 2

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": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508918103",
    "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": {
        "organization_name": "JACOBS CHIROPRACTIC ACUPUNCTURE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-774-6251",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.