Active NPI
Robert Matthew John Kasperski, DC
- Chiropractor
- Sanford, ME
National Provider Identifier
1831704139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CR2673
- Practice address
- 21 Daigle LN Ste 103
Sanford, ME 04073-3939 - Phone
- (207) 324-7098
- NPI assigned
- Sep 14, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | CR2673 | ME | Primary |
Addresses
Primary practice location
21 Daigle LN Ste 103
Sanford, ME 04073-3939
Mailing address
146 Devereaux Cir
South Portland, ME 04106-1813
Phone (937) 554-1523
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CR2673 | ME | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600041600000",
"number": "1831704139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 DEVEREAUX CIR",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041061813",
"telephone_number": "937-554-1523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 DAIGLE LN STE 103",
"city": "SANFORD",
"state": "ME",
"postal_code": "040733939",
"telephone_number": "207-324-7098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASPERSKI",
"first_name": "ROBERT",
"middle_name": "MATTHEW JOHN",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-14",
"last_updated": "2020-09-14",
"certification_date": "2020-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ME",
"license": "CR2673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sanford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.