Organization Active NPI

Gardiner Family Chiropractic PC

  • Chiropractor
  • Gardiner, ME
National Provider Identifier
1396074431
Registry record updated Dec 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GARDINER FAMILY CHIROPRACTIC PC
Practice address
90 Maine Ave
Gardiner, ME 04345-2176
Phone
(207) 582-2222
Fax
(207) 588-0891
NPI assigned
Dec 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2009

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

Authorized official

Name
Dr. Paul Lawrence Pidgeon, D.C.
Title
President
Phone
(207) 582-2222

Specialties & licenses 1

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

Addresses

Primary practice location

90 Maine Ave
Gardiner, ME 04345-2176

Mailing address

90 Maine Ave
Gardiner, ME 04345-2176
Phone (207) 582-2222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100127000185 ME Part B Supplier - Clinic/Group Practice 4385786581 Receives reassigned benefits from 4 practitioners
Practice locations: Gardiner, ME

National Provider Directory

National Provider Directory

Locations

90 Main Ave
Gardiner, ME 04345
Phone (207) 582-2222

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261353600000",
    "number": "1396074431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MAINE AVE",
            "city": "GARDINER",
            "state": "ME",
            "postal_code": "043452176",
            "telephone_number": "207-582-2222",
            "fax_number": "207-588-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MAINE AVE",
            "city": "GARDINER",
            "state": "ME",
            "postal_code": "043452176",
            "telephone_number": "207-582-2222",
            "fax_number": "207-588-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDINER FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-21",
        "last_updated": "2009-12-21",
        "status": "A",
        "authorized_official_last_name": "PIDGEON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-582-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardiner, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.