Organization Active NPI

Gerald Nadeau DC PA

  • Chiropractor
  • Auburn, ME
National Provider Identifier
1932360872
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR653 Issued in ME
Legal business name
GERALD NADEAU DC PA
Practice address
336 Center St
Auburn, ME 04210-6300
Phone
(207) 777-1104
Fax
(207) 777-7354
NPI assigned
Jun 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Authorized official

Name
Dr. Gerald A. Nadeau, D.C.NPI 1215974803
Title
Owner/Provider
Phone
(207) 777-1104

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CR653 ME Primary

Addresses

Primary practice location

336 Center St
Auburn, ME 04210-6300

Mailing address

336 Center St
Auburn, ME 04210-6300
Phone (207) 777-1104

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080716000263 ME Part B Supplier - Clinic/Group Practice 1557434123 Receives reassigned benefits from 3 practitioners
Practice locations: Auburn, ME

National Provider Directory

National Provider Directory

Locations

336 Center St
Unit 7
Auburn, ME 04210

Practitioners & affiliated clinicians

Practitioners 3

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": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1932360872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 CENTER ST",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042106300",
            "telephone_number": "207-777-1104",
            "fax_number": "207-777-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 CENTER ST",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042106300",
            "telephone_number": "207-777-1104",
            "fax_number": "207-777-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD NADEAU DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "NADEAU",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "207-777-1104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.