Organization Active NPI

Nadeau Active-Family Chiropractic

  • Chiropractor
  • Scarborough, ME
National Provider Identifier
1841527595
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR1837 Issued in ME
Legal business name
NADEAU ACTIVE-FAMILY CHIROPRACTIC
Practice address
360 US Route 1
Suite 201
Scarborough, ME 04074-6700
Phone
(207) 289-6400
Fax
(866) 289-1877
NPI assigned
Nov 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Authorized official

Name
Dr. Ryan Thomas Nadeau, DCNPI 1740479880
Title
President
Phone
(207) 289-6400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CR1837 ME Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CR1913 ME

Addresses

Primary practice location

360 US Route 1
Suite 201
Scarborough, ME 04074-6700

Mailing address

360 US Route 1
Suite 201
Scarborough, ME 04074-6700
Phone (207) 289-6400

National Provider Directory

National Provider Directory

Locations

360 US Route 1
Ste 201
Scarborough, ME 04074
Phone (207) 289-1877

Practitioners & affiliated clinicians

Practitioners 2

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": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1841527595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 US ROUTE 1",
            "address_2": "SUITE 201",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040746700",
            "telephone_number": "207-289-6400",
            "fax_number": "866-289-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 US ROUTE 1",
            "address_2": "SUITE 201",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040746700",
            "telephone_number": "207-289-6400",
            "fax_number": "866-289-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADEAU ACTIVE-FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "NADEAU",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-289-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1837",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1913",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.