Active NPI
Slocum Chiropractic PA
- Chiropractor
- Brunswick, ME
National Provider Identifier
1821239641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CR912
- Legal business name
- SLOCUM CHIROPRACTIC PA
- Practice address
- 26 Bath Rd Ste 1
Brunswick, ME 04011-2618 - Phone
- (207) 725-4222
- Fax
- (207) 319-7046
- NPI assigned
- Mar 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wendy S Enman
- Title
- Office Manager
- Phone
- (207) 725-4222
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CR815 | ME | |
| Chiropractor | 111N00000X | CR912 | ME | Primary |
| Chiropractor | 111N00000X | CR2038 | ME |
Addresses
Primary practice location
26 Bath Rd Ste 1
Brunswick, ME 04011-2618
Mailing address
26 Bath Rd Ste 1
Brunswick, ME 04011-2618
Phone (207) 725-4222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122380000 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Brunswick, ME
- NPI 1477885861
-
- Chiropractor
- Brunswick, ME
- NPI 1427080183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334016000000",
"number": "1821239641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 BATH RD STE 1",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112618",
"telephone_number": "207-725-4222",
"fax_number": "207-319-7046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 BATH RD STE 1",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112618",
"telephone_number": "207-725-4222",
"fax_number": "207-319-7046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLOCUM CHIROPRACTIC PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-09",
"last_updated": "2012-04-10",
"status": "A",
"authorized_official_last_name": "ENMAN",
"authorized_official_first_name": "WENDY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "207-725-4222"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "ME",
"license": "CR815",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "ME",
"license": "CR912",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "ME",
"license": "CR2038",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122380000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.