Cornish Family Chiropractic PA,

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CR1306 Issued in ME

Legal business name

CORNISH FAMILY CHIROPRACTIC PA,

Practice address

202 Maple St
Suite a
Cornish, ME 04020

Phone

(207) 625-8100

Fax

(207) 625-8100

NPI assigned

Apr 10, 2008

Last updated

Dec 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Adam Shaw McBride, D.C.NPI 1336109271

Title

Owner, President

Phone

(207) 625-8100

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adam S McBride, D.C.

  • Chiropractor
  • Cornish, ME
  • NPI 1336109271
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1578736583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 466",
            "city": "CORNISH",
            "state": "ME",
            "postal_code": "040200466",
            "telephone_number": "207-625-8100",
            "fax_number": "207-625-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 MAPLE ST",
            "address_2": "SUITE A",
            "city": "CORNISH",
            "state": "ME",
            "postal_code": "04020",
            "telephone_number": "207-625-8100",
            "fax_number": "207-625-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNISH FAMILY CHIROPRACTIC PA,",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "SHAW",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "207-625-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "061116",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "052042378ME02",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PRACTITIONER N.P.I.",
            "identifier": "1336109271",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTCARE",
            "identifier": "AA10887",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A Center for Life Enhancement, Inc.
• Community Pharmacies LLC. (Community Pharmacy of Cornish)
• Michael Eugene Coppi, R.PH
• Cornish Denture Center, LLC
• Ashten Hackett Cullenberg, PT, DPT
• Emily Dee, RPH
• John A Dubois, OD
• Anita Helena Flores, MA, CCC-SLP, LCPC
• Foothills Physical Therapy, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.