Individual provider Active NPI

Ted R Stratman, D.C.

  • Chiropractor
  • Lewiston, ME
National Provider Identifier
1609875012
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR1358 Issued in ME
Practice address
416 Sabattus St
Lewiston, ME 04240-5430
Phone
(207) 777-3333
Fax
(207) 786-8921
NPI assigned
Jul 18, 2005
Reactivated
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1326 NE
Chiropractor 111N00000X CR1358 ME Primary

Addresses

Primary practice location

416 Sabattus St
Lewiston, ME 04240-5430

Mailing address

416 Sabattus St
Lewiston, ME 04240-5430
Phone (207) 376-3877

Other identifiers 3

IdentifierTypeStateIssuer
09061OtherNEBC HME
100 25 9818 00MedicaidNE
99534OtherNEBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090206000157 ME Practitioner - Chiropractic 3577551639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chandra Sasseville, D.C., P.a.Group PAC ID 7214093400, 3 clinicians

Practice addresses (Care Compare)

416 Sabattus St
Lewiston, ME 04240-5430
Phone (207) 777-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CR1358MEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chandra Sasseville DC PA CurrentSince Apr 1, 2011 Accepting new patients

Locations

416 Sabattus St
Lewiston, ME 04240
Phone (207) 460-9610

513 Sabattus St
Lewiston, ME 04240
Phone (207) 777-3333

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1609875012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 SABATTUS ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405430",
            "telephone_number": "207-376-3877",
            "fax_number": "207-786-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 SABATTUS ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405430",
            "telephone_number": "207-777-3333",
            "fax_number": "207-786-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRATMAN",
        "first_name": "TED",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1326",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC HME",
            "identifier": "09061",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100 25 9818 00",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "99534",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.