Active NPI
Mark Erich Allen, D.C.
- Chiropractor
- South Portland, ME
National Provider Identifier
1790768182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CR1365
- Practice address
- 894 Broadway
South Portland, ME 04106-4350 - Phone
- (207) 699-2226
- Fax
- (207) 699-2229
- NPI assigned
- Nov 21, 2005
- Last updated
- Dec 12, 2012
- Sex
- Male
- Sole proprietor
- No
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 | CR1365 | ME | Primary |
Addresses
Primary practice location
894 Broadway
South Portland, ME 04106-4350
Mailing address
894 Broadway
South Portland, ME 04106-4350
Phone (207) 699-2226
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M204600 | Other | ME | CIGNA |
| 352582 | Other | ME | HARVARD PILGRIM |
| 522405696 | Other | ME | MED NET SYSTEMS |
| 177050000 | Medicaid | ME | |
| 522405696 | Other | ME | HEALTH PLANS INC |
| 640621 | Other | ME | UNITED HEALTHCARE |
| 2193260 | Other | ME | FIRST HEALTH CARE SYSTEMS |
| 4639291 | Other | ME | AETNA |
| 522405696 | Other | ME | PRIVATE HEALTHCARE SYSTEM |
| 522405696 | Other | ME | PREFERREDONE ADMIN SERVIC |
| 022415 | Other | ME | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
894 Broadway
South Portland, ME 04106-4350
Phone (207) 699-2226
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CR1365 | ME | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Chiropractic P a | Chiropractor | Current | Accepting new patients |
| Preferred Chiropractic PLLC | Chiropractor | Past | Accepting new patients |
| Preferred Chiropractic PLLC | Chiropractor | Past | Accepting new patients |
| Shields Chiropractic LLC | Chiropractor | Past | Accepting new patients |
| Caring Hands Chiropractic, P.C. | Chiropractor | Past | Accepting new patients |
Locations
894 Broadway
South Portland, ME 04106
Phone (207) 699-2226
Interoperability endpoints
- dr.allen@acp0009.direct.chirotouch.md
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355270400000",
"number": "1790768182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "894 BROADWAY",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041064350",
"telephone_number": "207-699-2226",
"fax_number": "207-699-2229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "894 BROADWAY",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041064350",
"telephone_number": "207-699-2226",
"fax_number": "207-699-2229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "MARK",
"middle_name": "ERICH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-21",
"last_updated": "2012-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ME",
"license": "CR1365",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "M204600",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "352582",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MED NET SYSTEMS",
"identifier": "522405696",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177050000",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLANS INC",
"identifier": "522405696",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "640621",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH CARE SYSTEMS",
"identifier": "2193260",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4639291",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEM",
"identifier": "522405696",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERREDONE ADMIN SERVIC",
"identifier": "522405696",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "022415",
"state": "ME"
}
],
"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 Dec 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.