Penobscot Bay Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CR1062 Issued in ME

Legal business name

PENOBSCOT BAY CHIROPRACTIC, LLC

Practice address

1112 Commercial St
Rockport, ME 04856-3802

Phone

(207) 596-5523

Fax

(207) 596-5655

NPI assigned

Sep 25, 2006

Last updated

Mar 15, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott Charles Sherry, D.C.NPI 1982754222

Title

President

Phone

(207) 596-5523

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott Charles Sherry, DC

  • Chiropractor
  • Glen Cove, ME
  • NPI 1982754222
  Authorized official Same address or phone
• Aleta Lark Jenkins, DC

  • Chiropractor
  • Glen Cove, ME
  • NPI 1730239088
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1821199787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92",
            "city": "WEST ROCKPORT",
            "state": "ME",
            "postal_code": "048650092",
            "telephone_number": "207-596-5523",
            "fax_number": "207-596-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 COMMERCIAL ST",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048563802",
            "telephone_number": "207-596-5523",
            "fax_number": "207-596-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENOBSCOT BAY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "SHERRY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-596-5523",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penbay Dental LLC
• Penbay Neurology, P.a.
• Penbay Pathology
• Penbay X-Ray Associates, PA
• Penobcot Bay Medical Center
• Penobscot Bay Medical Center
• Penobscot Bay Medical Center
• Penobscot Bay Pathology Associates, LLC
• Penobscot Bay Physicians & Associates
• McKim C Peterson, M. D.

• Chiropractor in Rockport, ME
• Providers in Rockport, ME by specialty
• Chiropractor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.