Organization Active NPI

Heritage Family Chiropractic

Doing business as Heritage Integrative HealthCare

  • Chiropractor
  • Falmouth, ME
National Provider Identifier
1659542918
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR1312 Issued in ME
Legal business name
HERITAGE FAMILY CHIROPRACTIC
Doing business as
Heritage Integrative HealthCare
Practice address
80 Leighton Road
Ste B
Falmouth, ME 04105-2242
Phone
(207) 321-2100
Fax
(207) 321-2101
NPI assigned
Mar 14, 2008
Last updated
Jan 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Authorized official

Name
Dr. Gregory David Fox, D.C.NPI 1386795060
Title
President
Phone
(207) 321-2100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CR1312 ME Primary

Addresses

Primary practice location

80 Leighton Road
Ste B
Falmouth, ME 04105-2242

Mailing address

80 Leighton Rd
Ste B
Falmouth, ME 04105-2242
Phone (207) 321-2100

Other names 1

  • Heritage Integrative HealthCare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050218000465 ME Part B Supplier - Clinic/Group Practice 1850343708 Receives reassigned benefits from 2 practitioners
Practice locations: Bridgton, ME; Falmouth, ME

National Provider Directory

National Provider Directory

Locations

2 N High St
Bridgton, ME 04009
Phone (207) 647-8811

80 Leighton Rd
Ste B
Falmouth, ME 04105
Phone (207) 321-2100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1659542918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 LEIGHTON RD",
            "address_2": "STE B",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052242",
            "telephone_number": "207-321-2100",
            "fax_number": "207-321-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 LEIGHTON ROAD",
            "address_2": "STE B",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052242",
            "telephone_number": "207-321-2100",
            "fax_number": "207-321-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-321-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Integrative HealthCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Falmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.