Grondin Chiropractic, PA, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CR2079 Issued in ME

Legal business name

GRONDIN CHIROPRACTIC, PA, INC.

Doing business as

Shepherd Chiropractic Center

Practice address

1223 US Route 202
Winthrop, ME 04364-3810

Phone

(207) 377-9344

Fax

(207) 377-4286

NPI assigned

Nov 16, 2012

Last updated

Nov 16, 2012By 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

Danielle Grondin, D.C.

Title

President

Phone

(207) 740-0230

Specialties & licenses 1

Addresses

Other names 1

• Shepherd Chiropractic Center Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 4

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.

• Danielle C Grondin-Stevens

  • Chiropractor
  • Winthrop, ME
  • NPI 1669708350
  Medicare reassignment NPD
• Stephanie Mellen, FNP

  • Family Nurse Practitioner
  • Lewiston, ME
  • NPI 1679989222
  Medicare reassignment NPD
• Kaitlyn Marie Turmelle, DC

  • Chiropractor
  • Winthrop, ME
  • NPI 1043862030
  Medicare reassignment NPD
• Edwin Shepherd III, DC

  • Chiropractor
  • Seattle, WA
  • NPI 1629073515
  NPD (past)

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1881938769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 US ROUTE 202",
            "city": "WINTHROP",
            "state": "ME",
            "postal_code": "043643810",
            "telephone_number": "207-377-9344",
            "fax_number": "207-377-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 US ROUTE 202",
            "city": "WINTHROP",
            "state": "ME",
            "postal_code": "043643810",
            "telephone_number": "207-377-9344",
            "fax_number": "207-377-4286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRONDIN CHIROPRACTIC, PA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-16",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "GRONDIN",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-740-0230",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR2079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shepherd Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Folk, LCSW
• Shenee Marie Foster, RN
• Jonathan L Gasper, MD
• Amanda Giampetro
• Christie S Grant
• Danielle C Grondin-Stevens
• Hannaford Bros Co LLC (Hannaford Supermarket & Pharmacy)
• Healthy Futures, Inc
• Teresa Elizabeth Hermida, MD
• Susan Jean Lebrun Hobart, RDH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.