Spine by Design Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CR1543 Issued in ME

Legal business name

SPINE BY DESIGN INC

Practice address

60 Western Ave
Ste 3-234
Augusta, ME 04330-6338

Phone

(207) 226-1932

Fax

(888) 965-5221

NPI assigned

Mar 14, 2017

Last updated

Mar 14, 2017By 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. Thomas J White, D.C.NPI 1174728315

Title

President

Phone

(207) 226-1932

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 1

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.

• Thomas Jorgen White, DC

  • Chiropractor
  • Rockland, ME
  • NPI 1174728315
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1841731627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 WESTERN AVE",
            "address_2": "STE 3-234",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043306338",
            "telephone_number": "207-226-1932",
            "fax_number": "888-965-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 WESTERN AVE",
            "address_2": "STE 3-234",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043306338",
            "telephone_number": "207-226-1932",
            "fax_number": "888-965-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE BY DESIGN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-226-1932",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1174728315",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINE CHIROPRACTIC LICENSE",
            "identifier": "CR1543",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Althea Spencer
• Mark Spencer, MD
• Robin Gail Spencer, LCPC
• Alivia Spicer, DO
• Julia Margaret Spieldenner, OTR/L
• Spiral Growth Counseling, LLC
• Charles David Springer, MD
• Hilary Sproul, AGACNP
• James L Sprouse, PA-C
• Sally L Sprowl Eagar, RN-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.

Verify at the official NPI Registry.