NPIMap

Organization Active NPI

Gardiner Family Chiropractic

  • Chiropractor
  • Gardiner, ME
National Provider Identifier
1457374803
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR715 Issued in ME
Legal business name
GARDINER FAMILY CHIROPRACTIC
Practice address
90 Main Ave
Gardiner, ME 04345
Phone
(207) 582-2222
Fax
(207) 588-0891
NPI assigned
Jul 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Paul L Pidgeon, DCNPI 1407977127
Title
Owner Chiropractor
Phone
(207) 582-2222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CR719 ME
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CR715 ME Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CR1261 ME

Addresses

Primary practice location

90 Main Ave
Gardiner, ME 04345

Mailing address

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457374803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MAIN AVE",
            "city": "GARDINER",
            "state": "ME",
            "postal_code": "04345",
            "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 MAIN AVE",
            "city": "GARDINER",
            "state": "ME",
            "postal_code": "04345",
            "telephone_number": "207-582-2222",
            "fax_number": "207-588-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDINER FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PIDGEON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER CHIROPRACTOR",
        "authorized_official_telephone_number": "207-582-2222",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR719",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR715",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1261",
            "primary": false
        }
    ],
    "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 Aug 22, 2020; 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.