Individual provider Active NPI

Alix Snyder, DC

  • Chiropractor
  • Yarmouth, ME
National Provider Identifier
1639555097
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR2465 Issued in ME
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009565 GA
Nutrition Chiropractor 111NN1001X CHIR009565 GA
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
CHIR009565GAMDChiropractor
CR2465MEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Me Integrative Health Services LLC Chiropractor PastSince Feb 27, 2018 Accepting new patients
Acorn Hill Psychology PLLC Single Specialty PastSince Jan 9, 2019 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.

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.

Verify at the official NPI Registry.