Comprehensive Chiropractic Care P.a. – Chiropractor

Key facts

NPI: 1992919617
Entity type: Organization (NPI type 2)
Primary specialty: Chiropractor 111N00000X
License: CR616 (ME)
Legal business name: COMPREHENSIVE CHIROPRACTIC CARE P.A.
Practice address: 554 Main St
South Portland, ME 04106-5407
Phone: (207) 773-6425
NPI assigned: May 10, 2007
Organization subpart: No

Authorized official

Name: Alan Christian Williams, D.C. NPI 1104908177
Title: President
Phone: (207) 773-6425

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

Alan Christian Williams, D.C. Chiropractor · South Portland, ME · NPI 1104908177

NPD (past) Authorized official CHIROPRACTOR

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Chiropractor Group: 193400000X SINGLE SPECIALTY GROUP	111N00000X	CR616	ME	Yes

Addresses

Primary practice location

554 Main St
South Portland, ME 04106-5407

Mailing address

554 Main St
South Portland, ME 04106-5407
Phone (207) 773-6425

Other identifiers

Identifier	Type	State	Issuer
001807	Other	ME	ANTHEM BCBS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992919617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 MAIN ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041065407",
            "telephone_number": "207-773-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 MAIN ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041065407",
            "telephone_number": "207-773-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE CHIROPRACTIC CARE P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-773-6425",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "001807",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

All providers in South Portland, ME · Chiropractor in Maine

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.