NPIMap

Organization Active NPI

Active Chiropractic and Wellness

  • Chiropractor
  • Ellsworth, ME
National Provider Identifier
1922540301
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR1906 Issued in ME
Legal business name
ACTIVE CHIROPRACTIC AND WELLNESS
Practice address
150 Bucksport Rd
Ellsworth, ME 04605-2224
Phone
(207) 667-4678
NPI assigned
Nov 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Authorized official

Name
Jessica Mattson
Title
Manager
Phone
(207) 667-4578

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CR1906 ME Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CR2315 ME
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC526 ME

Addresses

Primary practice location

150 Bucksport Rd
Ellsworth, ME 04605-2224

Mailing address

150 Bucksport Rd
Ellsworth, ME 04605-2224
Phone (207) 667-4678

Other names 1

  • nesiba mattson chiropractic and wellness Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1922540301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BUCKSPORT RD",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046052224",
            "telephone_number": "207-667-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BUCKSPORT RD",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046052224",
            "telephone_number": "207-667-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE CHIROPRACTIC AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "MATTSON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "207-667-4578"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1906",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR2315",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "ME",
            "license": "AC526",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "nesiba mattson chiropractic and wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellsworth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.