Individual provider Active NPI

Daniel D Chasse, DC

  • Chiropractor
  • Fort Kent, ME
National Provider Identifier
1720128085
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
660 Issued in ME
Practice address
155 E Main St
Fort Kent, ME 04743-1446
Phone
(207) 834-5121
Fax
(207) 834-2477
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 660 ME Primary

Addresses

Primary practice location

155 E Main St
Fort Kent, ME 04743-1446

Mailing address

155 E Main St
Fort Kent, ME 04743-1446
Phone (207) 834-5121

Other identifiers 2

IdentifierTypeStateIssuer
010514340OtherMETAX ID
131100099MedicaidME

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100421000065 ME Practitioner - Chiropractic 7416084660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fish River Rural HealthGroup PAC ID 3577531953, 21 clinicians

Practice addresses (Care Compare)

12 Bolduc Ave
Fort Kent, ME 04743-1602
Phone (207) 444-5973

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
660MEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fish River Rural Health CurrentSince Dec 1, 2020 Accepting new patients
Fish River Rural Health CurrentSince Dec 1, 2020 Accepting new patients

Locations

10 Carter St
Eagle Lake, ME 04739
Phone (207) 444-5973

12 Bolduc Ave
Fort Kent, ME 04743
Phone (207) 834-3012

3 Mountainview Dr
Fort Kent, ME 04743
Phone (207) 834-1573

309 Saint Thomas St
Ste 213
Madawaska, ME 04756
Phone (207) 728-3971

Interoperability endpoints

  • Direct secure messaging: daniel.chasse.1@10077.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1720128085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 E MAIN ST",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431446",
            "telephone_number": "207-834-5121",
            "fax_number": "207-834-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E MAIN ST",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431446",
            "telephone_number": "207-834-5121",
            "fax_number": "207-834-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASSE",
        "first_name": "DANIEL",
        "middle_name": "D",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "010514340",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131100099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Kent, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.