Active NPI
Robert Phil Deutsch, DC
- Chiropractor
- Portland, ME
National Provider Identifier
1679681019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CR1044
- Practice address
- 94 Auburn Street
Portland, ME 04103 - Phone
- (207) 797-7750
- Fax
- (207) 797-7029
- NPI assigned
- Aug 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CR1044 | ME | Primary |
Addresses
Primary practice location
94 Auburn Street
Portland, ME 04103
Mailing address
94 Auburn Street
Portland, ME 04103
Phone (207) 797-7750
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2159517 | Other | AETNA | |
| 034506 | Other | ANTHEM | |
| M24037 | Other | CIGNA | |
| ME0971 | Other | HARVARD PILGRIM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070725000562 | ME | Practitioner - Chiropractic | 6709987431 | Practice locations: Portland, ME |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
94 Auburn St
Portland, ME 04103-2141
Phone (207) 747-7750
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": "1156636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679681019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94 AUBURN STREET",
"city": "PORTLAND",
"state": "ME",
"postal_code": "04103",
"telephone_number": "207-797-7750",
"fax_number": "207-797-7029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 AUBURN STREET",
"city": "PORTLAND",
"state": "ME",
"postal_code": "04103",
"telephone_number": "207-797-7750",
"fax_number": "207-797-7029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEUTSCH",
"first_name": "ROBERT",
"middle_name": "PHIL",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ME",
"license": "CR1044",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2159517",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "034506",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "M24037",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "ME0971",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.