Individual provider Active NPI

Kathryn Marcinak, D.C.

  • Chiropractor
  • Yarmouth, ME
National Provider Identifier
1649517871
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR2100 Issued in ME
Practice address
106 Lafayette St
Yarmouth, ME 04096-6125
Phone
(207) 846-9292
Fax
(207) 846-9290
NPI assigned
Jan 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CR2100 ME Primary

Addresses

Primary practice location

106 Lafayette St
Yarmouth, ME 04096-6125

Mailing address

106 Lafayette St
Yarmouth, ME 04096-6125
Phone (207) 846-9292

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

NPI Registry JSON

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1649517871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 LAFAYETTE ST",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966125",
            "telephone_number": "207-846-9292",
            "fax_number": "207-846-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 LAFAYETTE ST",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966125",
            "telephone_number": "207-846-9292",
            "fax_number": "207-846-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCINAK",
        "first_name": "KATHRYN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR2100",
            "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 Jan 8, 2013; 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.