Active NPI
Kelly Worster DC, LLC
- Chiropractor
- South Portland, ME
National Provider Identifier
1730587221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CR1951
- Legal business name
- KELLY WORSTER DC, LLC
- Practice address
- 260 Western Ave, Suite 209
South Portland, ME 04106 - Phone
- (207) 838-5643
- Fax
- (207) 221-1912
- NPI assigned
- Dec 15, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kelly Anne Worster, D.C.
- Title
- Chiropractor/Owner
- Phone
- (207) 838-5643
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CR1951 | ME | Primary |
Addresses
Primary practice location
260 Western Ave, Suite 209
South Portland, ME 04106
Mailing address
260 Western Ave, Suite 209
South Portland, ME 04106
Phone (207) 838-5643
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
222 Saint John St
Ste 308
Portland, ME 04102
Phone (207) 838-5643
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Portland, ME
- NPI 1194049080
-
- Chiropractor
- South Portland, ME
- NPI 1891572160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745884800000",
"number": "1730587221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 WESTERN AVE, SUITE 209",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "04106",
"telephone_number": "207-838-5643",
"fax_number": "207-221-1912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 WESTERN AVE, SUITE 209",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "04106",
"telephone_number": "207-838-5643",
"fax_number": "207-221-1912"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KELLY WORSTER DC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-15",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A",
"authorized_official_last_name": "WORSTER",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
"authorized_official_telephone_number": "207-838-5643",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "ME",
"license": "CR1951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.