Organization Active NPI

Maine Spine & Nerve Institute

  • Chiropractor
  • Scarborough, ME
National Provider Identifier
1871032755
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR1247 Issued in MI
Legal business name
MAINE SPINE & NERVE INSTITUTE
Practice address
200 Professional Drive
Ste 2
Scarborough, ME 04074
Phone
(207) 219-8078
NPI assigned
Feb 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Authorized official

Name
Dr. Douglas Vanderpleog
Title
Doctor
Phone
(207) 219-8078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CR1247 MI Primary

Addresses

Primary practice location

200 Professional Drive
Ste 2
Scarborough, ME 04074

Mailing address

200 Professional Drive
Ste 2
Scarborough, ME 04074
Phone (207) 219-8078

National Provider Directory

National Provider Directory

Locations

200 Professional Dr
Ste 2
Scarborough, ME 04074
Phone (207) 219-8078

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1871032755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PROFESSIONAL DRIVE",
            "address_2": "STE 2",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "04074",
            "telephone_number": "207-219-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PROFESSIONAL DRIVE",
            "address_2": "STE 2",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "04074",
            "telephone_number": "207-219-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE SPINE & NERVE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "VANDERPLEOG",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "207-219-8078",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "CR1247",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 13, 2017; 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.