Organization Active NPI

Old Port Chiropractic,Inc.

  • Health Service Clinic/Center
  • Portland, ME
National Provider Identifier
1699067843
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
CR1254 Issued in ME
Legal business name
OLD PORT CHIROPRACTIC,INC.
Practice address
97A Exchange St Ste 204
Portland, ME 04101-5016
Phone
(207) 749-8736
NPI assigned
May 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Authorized official

Name
Dr. Lynne A Whalen, D.C.NPI 1699822312
Title
Owner
Phone
(207) 749-8736

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
Health Service Clinic/Center 261QH0100X CR1254 ME Primary

Addresses

Primary practice location

97A Exchange St Ste 204
Portland, ME 04101-5016

Mailing address

97A Exchange St Ste 204
Portland, ME 04101-5016
Phone (207) 749-8736

National Provider Directory

National Provider Directory

Locations

66 Pearl St
Ste 320
Portland, ME 04101
Phone (207) 871-0787

97A Exchange St
Ste 204
Portland, ME 04101
Phone (207) 749-8736

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1699067843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97A EXCHANGE ST STE 204",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041015016",
            "telephone_number": "207-749-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97A EXCHANGE ST STE 204",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041015016",
            "telephone_number": "207-749-8736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD PORT CHIROPRACTIC,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-06",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "WHALEN",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-749-8736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "ME",
            "license": "CR1254",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 23, 2016; 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.