Active NPI
Alix Snyder, DC
- Chiropractor
- Yarmouth, ME
National Provider Identifier
1639555097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CR2465
- Practice address
- 50 Forest Falls Dr Ste 4
Yarmouth, ME 04096-6937 - Phone
- (207) 846-5111
- NPI assigned
- Aug 7, 2015
- Last updated
- Jul 10, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR009565 | GA | |
| Nutrition Chiropractor | 111NN1001X | CHIR009565 | GA | |
| Chiropractor | 111N00000X | CR2465 | ME | Primary |
Addresses
Primary practice location
50 Forest Falls Dr Ste 4
Yarmouth, ME 04096-6937
Mailing address
2923 Galt PL NW
Kennesaw, GA 30144-2888
Phone (770) 329-9448
Other practice location 1
3900 Legacy Park Blvd NW
C-200
Kennesaw, GA 30144-7412
Phone (770) 329-9448
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR009565 | GA | MD | Chiropractor |
| CR2465 | ME | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Me Integrative Health Services LLC | Chiropractor | Past | Accepting new patients |
| Acorn Hill Psychology PLLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Cape Integrative Health LLC
- Primary Care Nurse Practitioner
- Cape Elizabeth, ME
- NPI 1730447749
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531180800000",
"number": "1639555097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2923 GALT PL NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301442888",
"telephone_number": "770-329-9448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 FOREST FALLS DR STE 4",
"city": "YARMOUTH",
"state": "ME",
"postal_code": "040966937",
"telephone_number": "207-846-5111"
}
],
"practiceLocations": [
{
"address_1": "3900 Legacy Park Blvd NW",
"address_2": "C-200",
"address_purpose": "LOCATION",
"city": "Kennesaw",
"state": "GA",
"postal_code": "301447412",
"country_code": "US",
"telephone_number": "770-329-9448",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SNYDER",
"first_name": "ALIX",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-07",
"last_updated": "2018-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR009565",
"primary": false
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "GA",
"license": "CHIR009565",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "ME",
"license": "CR2465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yarmouth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.