Individual provider Active NPI

Evan Turner Phillips, D.C.

  • Chiropractor
  • Carmel, ME
National Provider Identifier
1760818637
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR2145 Issued in ME
Practice address
447 Main Rd
Carmel, ME 04419-3547
Phone
(207) 270-3042
NPI assigned
Sep 23, 2013
Last updated
Sep 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CR2145 ME Primary

Addresses

Primary practice location

447 Main Rd
Carmel, ME 04419-3547

Mailing address

31 Goodwin St
Newport, ME 04953-3232

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190628001050 ME Practitioner - Chiropractic 7618201344 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Integrative Chiropractic Chiropractor CurrentSince Jun 5, 2019 Accepting new patients
Phillips Chiropractic and Chiropractic Acupuncture Chiropractor Past Accepting new patients
Cindy L. Danchak DC Chiropractor PastSince Jun 5, 2019 Accepting new patients

Locations

8 Jesse Robbins Rd
Belfast, ME 04915
Phone (207) 338-8994

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1760818637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 GOODWIN ST",
            "city": "NEWPORT",
            "state": "ME",
            "postal_code": "049533232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 MAIN RD",
            "city": "CARMEL",
            "state": "ME",
            "postal_code": "044193547",
            "telephone_number": "207-270-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "EVAN",
        "middle_name": "TURNER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR2145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.