Organization Active NPI

Chiropractic Healing Arts Center, P.a.

  • Chiropractor
  • S Portland, ME
National Provider Identifier
1861667586
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR1163 Issued in ME
Legal business name
CHIROPRACTIC HEALING ARTS CENTER, P.A.
Practice address
85 E St
S Portland, ME 04106-2870
Phone
(207) 799-0972
Fax
(207) 799-4966
NPI assigned
Apr 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Authorized official

Name
Dr. Fawn Rae Dunphy, D.C.
Title
Owner
Phone
(207) 799-0972

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CR1163 ME Primary

Addresses

Primary practice location

85 E St
S Portland, ME 04106-2870

Mailing address

85 E St
S Portland, ME 04106-2870
Phone (207) 799-0972

Other identifiers 3

IdentifierTypeStateIssuer
025865OtherMEANTHEM BC/BS
6744257OtherMECIGNA
7893020OtherMEAETNA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1861667586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 E ST",
            "city": "S PORTLAND",
            "state": "ME",
            "postal_code": "041062870",
            "telephone_number": "207-799-0972",
            "fax_number": "207-799-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 E ST",
            "city": "S PORTLAND",
            "state": "ME",
            "postal_code": "041062870",
            "telephone_number": "207-799-0972",
            "fax_number": "207-799-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC HEALING ARTS CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "DUNPHY",
        "authorized_official_first_name": "FAWN",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-799-0972",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "025865",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6744257",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7893020",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in S Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.