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LIFE SOURCE FAMILY CHIROPRACTIC LLC
NPI 1912380205
Chiropractor in Ellsworth, ME

Active since July 03, 2015
24 CHURCH ST, ELLSWORTH, ME 04605(207) 667-5432(207) 667-5435 Get Directions Write a Review

NPPES record last updated: July 3, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Life Source Family Chiropractic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE SOURCE FAMILY CHIROPRACTIC LLC (NPI 1912380205) is a healthcare organization registered as a chiropractor in Ellsworth, Maine and active in the NPI registry since July 2015. The organization lists Megan Pinkham, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1912380205
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLIFE SOURCE FAMILY CHIROPRACTIC LLC
Location Address24 CHURCH STEllsworth, ME 04605-1913
Mailing Address24 Church StEllsworth, ME 04605-1913 · (207) 667-5432 · Fax (207) 667-5435
Phone(207) 667-5432
Fax(207) 667-5435
Organization SubpartNo
Authorized OfficialMegan PinkhamCo-owner · (207) 667-5432
Enumeration DateJuly 3, 2015
✔ NPI 1912380205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in ME · CR2285✔ Licensed in ME · CR2292
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
24 CHURCH ST, Ellsworth, ME 04605
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Life Source Family Chiropractic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Life Source Family Chiropractic LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Derek Pinkham, D.C.
Chiropractic
NPI 1578946869
24 CHURCH ST
Ellsworth, ME 04605
(207) 667-5432
✔ Accepts MedicareSame address
Megan Pinkham, D.C.
Chiropractic
NPI 1932582228
24 CHURCH ST
Ellsworth, ME 04605
(207) 667-5432
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Source Family Chiropractic LLC's NPI number?

The NPI number for Life Source Family Chiropractic LLC is 1912380205. It was assigned to this organization in the NPPES registry on July 3, 2015.

Where is Life Source Family Chiropractic LLC located?

Life Source Family Chiropractic LLC is located at 24 Church St, Ellsworth, ME 04605. The listed phone number is (207) 667-5432.

What is Life Source Family Chiropractic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Life Source Family Chiropractic LLC enrolled in Medicare?

Yes. Life Source Family Chiropractic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Life Source Family Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Life Source Family Chiropractic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Life Source Family Chiropractic LLC was last updated on July 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.