NPIMap

Organization Active NPI

Hayes Chiropractic P.C.

  • Orthopedic Chiropractor
  • Portland, ME
National Provider Identifier
1790050086
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
CR570 Issued in ME
Legal business name
HAYES CHIROPRACTIC P.C.
Practice address
808 Stevens Ave
Portland, ME 04103-2623
Phone
(207) 797-5868
Fax
(207) 797-5868
NPI assigned
Mar 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Dr. John F. Hayes III, D.C.
Title
President
Phone
(207) 797-5868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NX0800X CR570 ME Primary

Addresses

Primary practice location

808 Stevens Ave
Portland, ME 04103-2623

Mailing address

808 Stevens Ave
Portland, ME 04103-2623
Phone (207) 797-5868

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120413000215 ME Part B Supplier - Clinic/Group Practice 0244491553 Receives reassigned benefits from 1 practitioner
Practice locations: Portland, ME

National Provider Directory

National Provider Directory

Locations

808 Stevens Ave
Portland, ME 04103
Phone (207) 797-5868

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1790050086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 STEVENS AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032623",
            "telephone_number": "207-797-5868",
            "fax_number": "207-797-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 STEVENS AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032623",
            "telephone_number": "207-797-5868",
            "fax_number": "207-797-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYES CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-797-5868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "ME",
            "license": "CR570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.