Organization Active NPI

Back on Track Chiropractic

  • Chiropractor
  • South Portland, ME
National Provider Identifier
1922239003
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR1368 Issued in ME
Legal business name
BACK ON TRACK CHIROPRACTIC
Practice address
209 Western Ave Unit G
South Portland, ME 04106-2452
Phone
(207) 899-0806
NPI assigned
Aug 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

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

Authorized official

Name
Dr. Sara J Littlefield, D.C.
Title
Owner
Phone
(207) 899-0806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CR1368 ME Primary

Addresses

Primary practice location

209 Western Ave Unit G
South Portland, ME 04106-2452

Mailing address

209 Western Ave Unit G
South Portland, ME 04106-2452
Phone (207) 899-0806

Other identifiers 1

IdentifierTypeStateIssuer
433685000MedicaidME

National Provider Directory

National Provider Directory

Locations

209 Western Ave
Unit G
South Portland, ME 04106
Phone (207) 272-5638

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250121600000",
    "number": "1922239003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 WESTERN AVE UNIT G",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062452",
            "telephone_number": "207-899-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 WESTERN AVE UNIT G",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062452",
            "telephone_number": "207-899-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK ON TRACK CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2009-08-13",
        "status": "A",
        "authorized_official_last_name": "LITTLEFIELD",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-899-0806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "433685000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.