Alan Chastanet, PA, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

012805 Issued in ME

Legal business name

ALAN CHASTANET, PA, LLC

Practice address

420 Franklin St
Rumford, ME 04276-2104

Phone

(207) 364-4581

NPI assigned

Jun 22, 2005

Organization subpart

No

Name

Alan A Chastanet, M.D.

Title

President

Phone

(207) 364-4581

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699771964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1849",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042411849",
            "telephone_number": "207-784-2554",
            "fax_number": "207-783-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 FRANKLIN ST",
            "city": "RUMFORD",
            "state": "ME",
            "postal_code": "042762104",
            "telephone_number": "207-364-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN CHASTANET, PA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHASTANET",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-364-4581",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ME",
            "license": "012805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP #",
            "identifier": "CB3734",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.