Organization Active NPI

Spineology Chiropractic LLC

  • Clinic/Center
  • Madison, ME
National Provider Identifier
1720633175
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SPINEOLOGY CHIROPRACTIC LLC
Practice address
388 Lakewood Rd
Madison, ME 04950-3015
Phone
(207) 619-4450
NPI assigned
Aug 2, 2019
Last updated
Oct 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Authorized official

Name
Dustin Kniffin, DCNPI 1265961833
Title
Owner
Phone
(207) 619-4450

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
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

388 Lakewood Rd
Madison, ME 04950-3015

Mailing address

388 Lakewood Rd
Madison, ME 04950-3015

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Madison

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191127001503 ME Part B Supplier - Clinic/Group Practice 0840623187 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, ME

National Provider Directory

National Provider Directory

Locations

388 Lakewood Rd
Madison, ME 04950
Phone (207) 619-4450

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1720633175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 LAKEWOOD RD",
            "city": "MADISON",
            "state": "ME",
            "postal_code": "049503015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 LAKEWOOD RD",
            "city": "MADISON",
            "state": "ME",
            "postal_code": "049503015",
            "telephone_number": "207-619-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINEOLOGY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-02",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "KNIFFIN",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-619-4450",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Madison",
            "affiliation": "N",
            "address_1": "388 Lakewood Rd",
            "city": "Madison",
            "state": "ME",
            "country_code": "US",
            "postal_code": "049503015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.