Individual provider Active NPI

Joseph M Hayes, D.C.

  • Chiropractor
  • Portland, ME
National Provider Identifier
1538291356
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR1090 Issued in ME
Practice address
1321 Washington Ave
Suite 212
Portland, ME 04103-3636
Phone
(207) 878-3030
Fax
(207) 878-3211
NPI assigned
Mar 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CR1090 ME Primary

Addresses

Primary practice location

1321 Washington Ave
Suite 212
Portland, ME 04103-3636

Mailing address

1321 Washington Ave
Suite 212
Portland, ME 04103-3636
Phone (207) 878-3030

Other identifiers 5

IdentifierTypeStateIssuer
040515OtherMEANTHEM
MN0093OtherMEHARVARD PILGRIM
2290456OtherMEAETNA
216250000MedicaidME
610886700OtherMEASC OWCP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050830000258 ME Practitioner - Chiropractic 7416988498 Practice locations: Portland, ME

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1321 Washinton Ave
Suite 212
Portland, ME 04103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CR1090MEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hayes Chiropractic P.C. PastSince Jul 1, 2013 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1538291356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 WASHINGTON AVE",
            "address_2": "SUITE 212",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033636",
            "telephone_number": "207-878-3030",
            "fax_number": "207-878-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 WASHINGTON AVE",
            "address_2": "SUITE 212",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033636",
            "telephone_number": "207-878-3030",
            "fax_number": "207-878-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "040515",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "MN0093",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2290456",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216250000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASC OWCP",
            "identifier": "610886700",
            "state": "ME"
        }
    ],
    "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 Oct 13, 2014; 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.