Individual provider Active NPI

Deborah Anne Fudge, D.C.

  • Chiropractor
  • Methuen, MA
National Provider Identifier
1336206796
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHI1173 Issued in MA
Practice address
100 Milk St Ste 8
Methuen, MA 01844-4600
Phone
(978) 984-6636
Fax
(978) 984-6494
NPI assigned
Jan 3, 2007
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1173 MA
Chiropractor 111N00000X CHI1173 MA Primary

Addresses

Primary practice location

100 Milk St Ste 8
Methuen, MA 01844-4600

Mailing address

100 Milk St Ste 8
Methuen, MA 01844-4600
Phone (978) 984-6636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060428000254 MA Practitioner - Chiropractic 3274543715 Reassigns benefits to 1 organization
Practice locations: Methuen, MA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methuen Chiropractic Associates, PLLCGroup PAC ID 2860918927, 3 clinicians

Practice addresses (Care Compare)

100 Milk St
Suite 8
Methuen, MA 01844-4600
Phone (978) 984-6636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHI1173MAMDChiropractor
1173MAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Perrault Chiropractic Offices, Inc Chiropractor Current Accepting new patients
Methuen Chiropractic Associates, PLLC Chiropractor CurrentSince Apr 27, 2025 Accepting new patients
Fudge Chiropractic & Wellness LLC Chiropractor Current Accepting new patients

Locations

100 Milk St
Ste 8
Methuen, MA 01844
Phone (978) 984-6636

76 Woodland St
Methuen, MA 01844
Phone (978) 686-7791

Interoperability endpoints

  • Direct secure messaging: daf1173@pcoi0002.direct.chirotouch.md

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1336206796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MILK ST STE 8",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444600",
            "telephone_number": "978-984-6636",
            "fax_number": "978-984-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MILK ST STE 8",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444600",
            "telephone_number": "978-984-6636",
            "fax_number": "978-984-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUDGE",
        "first_name": "DEBORAH",
        "middle_name": "ANNE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1173",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "CHI1173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.