Individual provider Active NPI

Megan M Pinkham, D.C.

  • Chiropractor
  • Ellsworth, ME
National Provider Identifier
1932582228
Registry record updated Jul 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR2285 Issued in ME
Practice address
24 Church St
Ellsworth, ME 04605-1913
Phone
(207) 667-5432
Fax
(207) 667-5435
NPI assigned
Jul 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CR2285 ME Primary

Addresses

Primary practice location

24 Church St
Ellsworth, ME 04605-1913

Mailing address

24 Church St
Ellsworth, ME 04605-1913
Phone (207) 667-5432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151002000808 ME Practitioner - Chiropractic 2668780156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Source Family Chiropractic LLCGroup PAC ID 6901114487, 2 clinicians

Practice addresses (Care Compare)

9 Resort Way
Ellsworth, ME 04605-1717
Phone (207) 667-5432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CR2285MEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Life Source Family Chiropractic LLC Chiropractor CurrentSince Jul 24, 2015 Accepting new patients

Locations

24 Church St
Ellsworth, ME 04605
Phone (207) 667-5432

9 Resort Way
Ellsworth, ME 04605
Phone (207) 667-5432

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1435881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435881600000",
    "number": "1932582228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CHURCH ST",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051913",
            "telephone_number": "207-667-5432",
            "fax_number": "207-667-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CHURCH ST",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051913",
            "telephone_number": "207-667-5432",
            "fax_number": "207-667-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKHAM",
        "first_name": "MEGAN",
        "middle_name": "M",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-03",
        "last_updated": "2015-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR2285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.