Individual provider Active NPI

Stephen TG Arsenault, D.C.

  • Chiropractor
  • Orono, ME
National Provider Identifier
1619027646
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR1105 Issued in ME
Practice address
15 Forest Ave
Orono, ME 04473-3652
Phone
(207) 866-7000
NPI assigned
Jan 11, 2007
Last updated
May 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CR1105 ME Primary

Addresses

Primary practice location

15 Forest Ave
Orono, ME 04473-3652

Mailing address

85 Ridgeview Dr
Veazie, ME 04401-7031
Phone (207) 944-8161

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050624000611 ME Practitioner - Chiropractic 1658316146 Reassigns benefits to 1 organization
Practice locations: Orono, ME

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orono Chiropractic PAGroup PAC ID 5597058743, 2 clinicians

Practice addresses (Care Compare)

15 Forest Ave
Orono, ME 04473-3652
Phone (207) 866-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CR1105MEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Orono Chiropractic PA Chiropractor CurrentSince Aug 2, 2016 Accepting new patients

Locations

15 Forest Ave
Orono, ME 04473
Phone (207) 866-7000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1619027646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 RIDGEVIEW DR",
            "city": "VEAZIE",
            "state": "ME",
            "postal_code": "044017031",
            "telephone_number": "207-944-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FOREST AVE",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044733652",
            "telephone_number": "207-866-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARSENAULT",
        "first_name": "STEPHEN",
        "middle_name": "TG",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orono, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.