DR. GARY W. SMART (NPI# 1114175122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114175122 |
Entity Type | Organization |
Organization Name | DR. GARY W. SMART |
Other Organization Name | SOUTH PORTLAND CHIROPRACTIC & MASSAGE CENTER |
Practice Address |
597 Main St South Portland ME 04106-5412 |
Practice Telephone | 2077747242 |
Mailing Telephone | 2077747242 |
Enumeration Date | 2008-09-03 |
Last Update Date | 2008-09-03 |
Authorized Official Name | DR. GARY W SMART (OWNER/PRESIDENT) |
Authorized Official Telephone | 2077747242 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
CR594 | ME | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
South Portland Chiropractic & Massage Center | Other Name - Individual/Organization |
Street Address |
597 MAIN ST |
City | SOUTH PORTLAND |
State | ME |
Zip Code | 04106-5412 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790747046 | Gary W Smart | Chiropractor | 597 Main St, South Portland, ME 04106-5412 | 2006-04-03 |
1891335402 | Julia Losciuto | Massage Therapist | 597 Main St, South Portland, ME 04106-5412 | 2020-01-11 |
1417302910 | Philomena Herrick | Massage Therapist | 597 Main St, South Portland, ME 04106-5412 | 2016-05-03 |
1023481868 | Meghann O'donnell | Massage Therapist | 597 Main St, South Portland, ME 04106-5412 | 2015-11-02 |
1891102596 | Sarah Littlefield | Massage Therapist | 597 Main St, South Portland, ME 04106-5412 | 2014-07-15 |
1750714978 | Hannah K Hays | Massage Therapist | 597 Main St, South Portland, ME 04106-5412 | 2013-08-12 |
1730424664 | Megan Bowser | Massage Therapist | 597 Main St, South Portland, ME 04106-5412 | 2012-12-04 |
1114277563 | Laurie Cloutier | Massage Therapist | 597 Main St, South Portland, ME 04106-5412 | 2012-09-13 |
1598055576 | Fiona Markley | Massage Therapist | 597 Main St, South Portland, ME 04106-5412 | 2011-04-12 |
1316259062 | Hera Knight | Massage Therapist | 597 Main St, South Portland, ME 04106-5412 | 2010-07-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912513748 | Rayna Louise Sage | Behavior Technician | 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 | 2020-09-17 |
1972127330 | Scott M Davis Md LLC | Internal Medicine | 89 Cannon Road, South Portland, ME 04106 | 2020-06-02 |
1568013936 | Clara Cassidy | Behavior Technician | 50 Donald Bean Dr, Ste B, South Portland, ME 04106 | 2019-09-26 |
1336614346 | Kari Whitney | Nurse Practitioner | Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 | 2018-10-05 |
1588152193 | Kristen F. Pierce | Counselor | 100 Waterman Drive, Suite 201, South Portland, ME 04106 | 2018-04-30 |
1649779224 | Jennifer Rene Johnson | Social Worker | 135 Westbrook St, South Portland, ME 04106 | 2018-02-08 |
1154847721 | Integral Nutrition, LLC | Dietitian, Registered | 59 Baltimore Avenue, South Portland, ME 04106 | 2017-08-16 |
1730619610 | John Preston Powell | Psychiatry & Neurology | 68 B Street Apt 4, South Portland, ME 04106 | 2017-06-14 |
1649706268 | Gisselle Mani | Student in an Organized Health Care Education/Training Program | 30 Lydia Ln Apt 2115, South Portland, ME 04106 | 2017-05-02 |
1245786987 | Jonathan Frank Olmes | Optometrist | 335 Maine Mall Rd., South Portland, ME 04106 | 2016-09-01 |
Find all providers in zip 04106 |
Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740880822 | Integrative Somatic Trauma Therapy | Clinic/Center | 45 Grand St Apt 4, South Portland, ME 04106-2268 | 2020-10-28 |
1326317140 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 85 Western Ave, Suites 6, 7, 8, South Portland, ME 04106-2423 | 2011-12-22 |
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1467051185 | Agape Medical Group | Clinic/Center | 203 Mann Hill Rd, Holden, ME 04429-6230 | 2020-10-23 |
1356960728 | Kaleidoscope Eating Disorders and Diet Recovery Center | Clinic/Center | 75 Market St Ste 304, Portland, ME 04101-5040 | 2020-04-15 |
1801375050 | Northstar Wellness Group LLC | Clinic/Center | 79 Main St Fl 3, Auburn, ME 04210-5811 | 2018-08-08 |
1053814533 | Career Journeys | Clinic/Center | 13 Bonython Ave, Saco, ME 04072-1818 | 2018-03-12 |
1699067843 | Old Port Chiropractic,inc. | Clinic/Center | 97a Exchange St Ste 204, Portland, ME 04101-5016 | 2011-05-06 |
1811227101 | Greenbush School Department | Clinic/Center | 129 Military Rd, Greenbush, ME 04418-3137 | 2010-01-08 |
1588826036 | Chandra Sasseville Dc Pa | Clinic/Center | 416 Sabattus St, Lewiston, ME 04240-5430 | 2008-06-26 |
1700975794 | Freeport Medical Center Pa | Clinic/Center | 23 Durham Rd Ste 201, Freeport, ME 04032-6796 | 2006-10-11 |
1134699606 | Stephanie | Clinic/Center | 222 Saint John St Ste 226, Portland, ME 04102-3058 | 2018-11-27 |
1790224475 | Benjamin J. Myerowitz Dc LLC | Clinic/Center | 291 Main Rd, Holden, ME 04429-7132 | 2017-02-15 |
Find all providers with the same taxonomy |
City | SOUTH PORTLAND |
Zip Code | 04106 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.