Organization Active NPI

First Choice Family Chiropractic PA

  • Chiropractor
  • Turner, ME
National Provider Identifier
1689855306
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR1421 Issued in ME
Legal business name
FIRST CHOICE FAMILY CHIROPRACTIC PA
Practice address
1355 Auburn Rd
Suite 8
Turner, ME 04282-3778
Phone
(207) 225-2600
Fax
(207) 225-2600
NPI assigned
Nov 21, 2007
Last updated
Mar 31, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Authorized official

Name
Dr. Joseph Kevin Mackin, D.C.NPI 1306900576
Title
Chiropractor
Phone
(207) 225-2600

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
Chiropractor 111N00000X CR1421 ME Primary

Addresses

Primary practice location

1355 Auburn Rd
Suite 8
Turner, ME 04282-3778

Mailing address

1355 Auburn Rd
Suite 8
Turner, ME 04282-3778
Phone (207) 225-2600

Other identifiers 4

IdentifierTypeStateIssuer
M24839OtherMECIGNA
U87323OtherMEHARVARD PILGRIM
061096OtherMEBLUE CROSS
3445492OtherMEAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041020001040 ME Part B Supplier - Clinic/Group Practice 7012981582 Receives reassigned benefits from 1 practitioner
Practice locations: Turner, ME

National Provider Directory

National Provider Directory

Locations

1355 Auburn Rd
Ste 8
Turner, ME 04282
Phone (207) 225-2600

Practitioners & affiliated clinicians

Practitioners 3

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": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1689855306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 AUBURN RD",
            "address_2": "SUITE 8",
            "city": "TURNER",
            "state": "ME",
            "postal_code": "042823778",
            "telephone_number": "207-225-2600",
            "fax_number": "207-225-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 AUBURN RD",
            "address_2": "SUITE 8",
            "city": "TURNER",
            "state": "ME",
            "postal_code": "042823778",
            "telephone_number": "207-225-2600",
            "fax_number": "207-225-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE FAMILY CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "MACKIN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "207-225-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "M24839",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "U87323",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "061096",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3445492",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Turner, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.