Individual provider Active NPI

Ryan Thomas Nadeau, D.C.

  • Chiropractor
  • Brunswick, ME
National Provider Identifier
1740479880
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR1837 Issued in ME
Practice address
9 Pleasant St
Brunswick, ME 04011-2247
Phone
(207) 725-7177
Fax
(207) 725-5600
NPI assigned
Oct 15, 2007
Last updated
May 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CR1837 ME Primary

Addresses

Primary practice location

9 Pleasant St
Brunswick, ME 04011-2247

Mailing address

9 Pleasant St
Brunswick, ME 04011-2247
Phone (207) 725-7177

Other identifiers 1

IdentifierTypeStateIssuer
11841577OtherCAQH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090917000080 ME Practitioner - Chiropractic 1850447814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas J Augat DC PAGroup PAC ID 7911941661, 2 clinicians

Practice addresses (Care Compare)

9 Pleasant St
Brunswick, ME 04011-2247
Phone (207) 725-7177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CR1837MEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas J. Augat, D.C., P.a. Chiropractor CurrentSince Jul 11, 2024 Accepting new patients
Dr. Roy Chiropractic Center P.a Chiropractor Past Accepting new patients
Central Texas ENT, LLP PastSince May 19, 2024 Accepting new patients
Nadeau Active-Family Chiropractic Chiropractor Past Accepting new patients
Lynch Chiropractic Arts Center, LLC Chiropractor PastSince Jan 8, 2010 Accepting new patients

Organizations & group practices 5

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": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1740479880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 PLEASANT ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112247",
            "telephone_number": "207-725-7177",
            "fax_number": "207-725-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 PLEASANT ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112247",
            "telephone_number": "207-725-7177",
            "fax_number": "207-725-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADEAU",
        "first_name": "RYAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11841577",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.