Active NPI
Rex L Farrer, DC
- Chiropractor
- Sanford, ME
National Provider Identifier
1043372717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CR747
- Practice address
- 1273 Main Street
Sanford, ME 04073 - Phone
- (207) 490-2553
- Fax
- (207) 490-6526
- NPI assigned
- Dec 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CR747 | ME | Primary |
Addresses
Primary practice location
1273 Main Street
Sanford, ME 04073
Mailing address
1273 Main Street
Sanford, ME 04073
Phone (207) 490-2553
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010892 | Other | ME | BC |
| M20288 | Other | ME | CIGNA |
| 0503546Y0ME01 | Other | NH | BLUE CROSS OF NEW HAMPSHIRE |
| 119690000 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CR747 | ME | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555372800000",
"number": "1043372717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1273 MAIN STREET",
"city": "SANFORD",
"state": "ME",
"postal_code": "04073",
"telephone_number": "207-490-2553",
"fax_number": "207-490-6526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1273 MAIN STREET",
"city": "SANFORD",
"state": "ME",
"postal_code": "04073",
"telephone_number": "207-490-2553",
"fax_number": "207-490-6526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRER",
"first_name": "REX",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2019-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ME",
"license": "CR747",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC",
"identifier": "010892",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "M20288",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF NEW HAMPSHIRE",
"identifier": "0503546Y0ME01",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119690000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.