Active NPI
Old Port Chiropractic,Inc.
- Health Service Clinic/Center
- Portland, ME
National Provider Identifier
1699067843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- CR1254
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Sports Physician Chiropractor
- Portland, ME
- NPI 1699822312
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.