Active NPI
Joseph M Kerwin, D.C.
- Chiropractor
- Gorham, ME
National Provider Identifier
1730309352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 753
- Practice address
- 164 Main St
Gorham, ME 04038-1319 - Phone
- (207) 839-8181
- Fax
- (207) 839-8182
- NPI assigned
- Apr 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 753 | ME | Primary |
Addresses
Primary practice location
164 Main St
Gorham, ME 04038-1319
Mailing address
164 Main St
Gorham, ME 04038-1319
Phone (207) 839-8181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050520000095 | ME | Practitioner - Chiropractic | 7911948849 | Practice locations: Gorham, ME |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 753 | ME | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Chapter Chiropractic and Nutrition PLLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Gorham, ME
- NPI 1902765936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730309352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 MAIN ST",
"city": "GORHAM",
"state": "ME",
"postal_code": "040381319",
"telephone_number": "207-839-8181",
"fax_number": "207-839-8182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 MAIN ST",
"city": "GORHAM",
"state": "ME",
"postal_code": "040381319",
"telephone_number": "207-839-8181",
"fax_number": "207-839-8182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERWIN",
"first_name": "JOSEPH",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ME",
"license": "753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gorham, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.