Active NPI
Greater Portland Chiropractic, Inc.
- Chiropractor
- Scarborough, ME
National Provider Identifier
1831254010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CR1095
- Legal business name
- GREATER PORTLAND CHIROPRACTIC, INC.
- Practice address
- 400 Enterprise Dr
Suite 2
Scarborough, ME 04074-7639 - Phone
- (207) 883-6630
- Fax
- (207) 883-5996
- NPI assigned
- Dec 27, 2006
- 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
- Dr. Kenneth S Cayer, D.C.
- Title
- President
- Phone
- (207) 883-6630
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CR1095 | ME | Primary |
Addresses
Primary practice location
400 Enterprise Dr
Suite 2
Scarborough, ME 04074-7639
Mailing address
PO Box 546
Scarborough, ME 04070-0546
Phone (207) 883-6630
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040997 | Other | ME | ANTHEM PROVIDER ID |
| 5547657 | Other | ME | AETNA |
| 1028021-001 | Other | ME | CIGNA PAL |
| 2972657 | Other | ME | AETNA HMO |
| DJ63 | Other | ME | HARVARD PILGRIM ID |
| M25719 | Other | ME | CIGNA ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120413000188 | ME | Part B Supplier - Clinic/Group Practice | 5092976308 | Practice locations: Scarborough, ME |
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
- Scarborough, ME
- NPI 1144385329
-
- Chiropractor
- Scarborough, ME
- NPI 1033222765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1831254010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 546",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040700546",
"telephone_number": "207-883-6630",
"fax_number": "207-883-5996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 ENTERPRISE DR",
"address_2": "SUITE 2",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040747639",
"telephone_number": "207-883-6630",
"fax_number": "207-883-5996"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREATER PORTLAND CHIROPRACTIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CAYER",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "207-883-6630",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "ME",
"license": "CR1095",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER ID",
"identifier": "040997",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5547657",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PAL",
"identifier": "1028021-001",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2972657",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM ID",
"identifier": "DJ63",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA ID",
"identifier": "M25719",
"state": "ME"
}
],
"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 Aug 22, 2020; 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.