Organization Active NPI

Lavallee Chiropractic P.C.

  • Chiropractor
  • Augusta, ME
National Provider Identifier
1609815588
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR 1402 Issued in ME
Legal business name
LAVALLEE CHIROPRACTIC P.C.
Practice address
619 Leighton Rd
Augusta, ME 04330-7809
Phone
(207) 623-1111
Fax
(207) 623-9990
NPI assigned
Jun 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Authorized official

Name
Dr. James Ronald Lavallee, D.C.
Title
Ceo
Phone
(207) 623-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CR 1402 ME Primary

Addresses

Primary practice location

619 Leighton Rd
Augusta, ME 04330-7809

Mailing address

619 Leighton Rd
Augusta, ME 04330-7809
Phone (207) 623-1111

Other identifiers 1

IdentifierTypeStateIssuer
422800000MedicaidME

National Provider Directory

National Provider Directory

Locations

619 Leighton Rd
Augusta, ME 04330
Phone (207) 623-1111

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1609815588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 LEIGHTON RD",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043307809",
            "telephone_number": "207-623-1111",
            "fax_number": "207-623-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 LEIGHTON RD",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043307809",
            "telephone_number": "207-623-1111",
            "fax_number": "207-623-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVALLEE CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "LAVALLEE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-623-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR 1402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "422800000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.