Individual provider Active NPI

Casey Lynn Winters, DC

  • Chiropractor
  • Scarborough, ME
National Provider Identifier
1790374130
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR2678 Issued in ME
Practice address
162 US Route 1 Ste 4B
Scarborough, ME 04074-8975
Phone
(207) 303-0057
NPI assigned
Jan 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CR2678 ME Primary

Addresses

Primary practice location

162 US Route 1 Ste 4B
Scarborough, ME 04074-8975

Mailing address

91 Foxcroft Dr
Scarborough, ME 04074-8735
Phone (218) 556-9395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CR2678MEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Unbound Potential Chiropractic LLC Chiropractor CurrentSince Jan 31, 2021 Accepting new patients

Locations

162 US Route 1
Ste 4B
Scarborough, ME 04074
Phone (207) 303-0057

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.

NPI Registry JSON

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1790374130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 FOXCROFT DR",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748735",
            "telephone_number": "218-556-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 US ROUTE 1 STE 4B",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748975",
            "telephone_number": "207-303-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERS",
        "first_name": "CASEY",
        "middle_name": "LYNN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR2678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.