Organization Active NPI

Southern Maine Chiropractic Center

  • Chiropractor
  • Saco, ME
National Provider Identifier
1851453666
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR1234 Issued in ME
Legal business name
SOUTHERN MAINE CHIROPRACTIC CENTER
Practice address
3 Eastview Pkwy Ste 3
Saco, ME 04072-9783
Phone
(207) 284-1800
Fax
(207) 284-1802
NPI assigned
Dec 15, 2006
Last updated
Nov 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Jordan A Garlock, DC
Title
President
Phone
(207) 284-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CR1234 ME Primary

Addresses

Primary practice location

3 Eastview Pkwy Ste 3
Saco, ME 04072-9783

Mailing address

3 Eastview Pkwy Ste 3
Saco, ME 04072-9783
Phone (207) 284-1800

National Provider Directory

National Provider Directory

Locations

426 US Route 1
Ste 4
Scarborough, ME 04074
Phone (207) 284-1800

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1851453666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 EASTVIEW PKWY STE 3",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040729783",
            "telephone_number": "207-284-1800",
            "fax_number": "207-284-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 EASTVIEW PKWY STE 3",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040729783",
            "telephone_number": "207-284-1800",
            "fax_number": "207-284-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MAINE CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "GARLOCK",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-284-1800",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saco, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.