Thaddeus J. Skrzynecki III, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-04649 Issued in OH

Practice address

50 Forest Falls Dr
Suite 4
Yarmouth, ME 04096-6937

Phone

(207) 846-5111

NPI assigned

Dec 10, 2014

Last updated

Jan 2, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Me Integrative Health Services LLC

  dba Cape Integrative Health LLC

  • Primary Care Nurse Practitioner
  • Cape Elizabeth, ME
  • NPI 1730447749

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514851200000",
    "number": "1548668304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 MONROE ST",
            "address_2": "STE D",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061937",
            "telephone_number": "419-472-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 FOREST FALLS DR",
            "address_2": "SUITE 4",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966937",
            "telephone_number": "207-846-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKRZYNECKI",
        "first_name": "THADDEUS",
        "middle_name": "J.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-10",
        "last_updated": "2018-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR2256",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-04649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alina Silver, LCSW
• Emily Rachel Singer, RBT
• Jessica L Sirois, LCPC-C
• Josie Marie Skavdahl, ND, CPM
• Molly Skog, RN
• Smilestories Maine PA
• Julie D. C. Smith
• Nicholas Smith, LCPC
• Terry Wayne Smith, OD
• Alix Snyder, DC

• Chiropractor in Yarmouth, ME
• Providers in Yarmouth, ME by specialty
• Chiropractor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; 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.