Paul Lawrence Pidgeon, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CR719 Issued in ME

Practice address

90 Maine Ave
Gardiner, ME 04345-2131

Phone

(207) 582-2222

Fax

(207) 588-0891

NPI assigned

Apr 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1407977127",
    "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": "043452131",
            "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": "043452131",
            "telephone_number": "207-582-2222",
            "fax_number": "207-588-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIDGEON",
        "first_name": "PAUL",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "005189",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rite Aid of Maine Inc
• Nathan Malik Rivera Ayala, PHARMD

• Chiropractor in Gardiner, ME
• Providers in Gardiner, ME by specialty
• Chiropractor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.