Organization Active NPI

Victoria Crockett-Rice Dba: Bethel Station Chiropractic Office

  • Chiropractor
  • Bethel, ME
National Provider Identifier
1699853127
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VICTORIA CROCKETT-RICE DBA: BETHEL STATION CHIROPRACTIC OFFICE
Doing business as
Bethel Station Chiropractic
Practice address
1 Parkway Suite 201
Bethel, ME 04217
Phone
(207) 824-3899
Fax
(207) 824-7677
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Authorized official

Name
Ms. Victoria Crockett-Rice, DC
Title
Doctor of Chiropractic
Phone
(207) 824-3899

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CR1055 ME
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 761 MA
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1 Parkway Suite 201
Bethel, ME 04217

Mailing address

P.O. Box 996
1 Parkway Suite 201
Bethel, ME 04217
Phone (207) 824-3899

Other identifiers 1

IdentifierTypeStateIssuer
131690000MedicaidME

Other names 1

  • Bethel Station Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1 Parkway
Ste 201
Bethel, ME 04217
Phone (207) 824-3899

Practitioners & affiliated clinicians

Practitioners 2

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1699853127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 996",
            "address_2": "1 PARKWAY SUITE 201",
            "city": "BETHEL",
            "state": "ME",
            "postal_code": "04217",
            "telephone_number": "207-824-3899",
            "fax_number": "207-824-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARKWAY SUITE 201",
            "city": "BETHEL",
            "state": "ME",
            "postal_code": "04217",
            "telephone_number": "207-824-3899",
            "fax_number": "207-824-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA CROCKETT-RICE DBA: BETHEL STATION CHIROPRACTIC OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "CROCKETT-RICE",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "207-824-3899",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1055",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "761",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131690000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethel Station Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bethel Station Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethel, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.