Individual provider Active NPI

Gregory David Fox, D.C.

  • Chiropractor
  • Falmouth, ME
National Provider Identifier
1386795060
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR1312 Issued in ME
Practice address
80 Leighton Rd
Ste. B
Falmouth, ME 04105-2242
Phone
(207) 321-2100
Fax
(207) 321-2101
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CR1312 ME Primary

Addresses

Primary practice location

80 Leighton Rd
Ste. B
Falmouth, ME 04105-2242

Mailing address

80 Leighton Rd
Ste. B
Falmouth, ME 04105-2242
Phone (207) 321-2100

Other identifiers 5

IdentifierTypeStateIssuer
190080000MedicaidME
M216561OtherMECIGNA
3949217OtherMEAETNA
043860OtherMEANTHEM
AA 28305OtherMEHARVARD PILGRIM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050607000304 ME Practitioner - Chiropractic 7517919475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

80 Leighton Rd
Suite B
Falmouth, ME 04105-2242
Phone (207) 321-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3123OHMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Family Chiropractic Chiropractor CurrentSince Oct 1, 2002 Accepting new patients
Fedorko Chiropractic Health Ctr of Green Chiropractor Past Accepting new patients

Locations

2 N High St
Bridgton, ME 04009
Phone (207) 647-8811

154 Main St
Bridgton, ME 04009
Phone (207) 647-2440

80 Leighton Rd
Ste B
Falmouth, ME 04105
Phone (207) 321-2100

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1386795060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 LEIGHTON RD",
            "address_2": "STE. B",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052242",
            "telephone_number": "207-321-2100",
            "fax_number": "207-321-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 LEIGHTON RD",
            "address_2": "STE. B",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052242",
            "telephone_number": "207-321-2100",
            "fax_number": "207-321-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "GREGORY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190080000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "M216561",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3949217",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "043860",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA 28305",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.