Organization Active NPI

Fridgen Chiropractic PA

  • Chiropractor
  • Scarborough, ME
National Provider Identifier
1164896262
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
677 Issued in ME
Legal business name
FRIDGEN CHIROPRACTIC PA
Practice address
342 US Route 1
Scarborough, ME 04074-9774
Phone
(207) 883-1515
Fax
(207) 883-1536
NPI assigned
Nov 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Authorized official

Name
Dr. Blair E Hudson-Fridgen, DC
Title
Chiropractor
Phone
(207) 883-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 677 ME Primary

Addresses

Primary practice location

342 US Route 1
Scarborough, ME 04074-9774

Mailing address

342 US Route 1
Scarborough, ME 04074-9774
Phone (207) 883-1515

National Provider Directory

National Provider Directory

Locations

342 US Route 1
Scarborough, ME 04074
Phone (207) 883-1515

NPI Registry JSON

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448841600000",
    "number": "1164896262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 US ROUTE 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749774",
            "telephone_number": "207-883-1515",
            "fax_number": "207-883-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 US ROUTE 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749774",
            "telephone_number": "207-883-1515",
            "fax_number": "207-883-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIDGEN CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2015-11-30",
        "status": "A",
        "authorized_official_last_name": "HUDSON-FRIDGEN",
        "authorized_official_first_name": "BLAIR",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "207-883-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.