Active NPI
Fawn Rae Dunphy, D.C.
- Chiropractor
- South Portland, ME
National Provider Identifier
1962422378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CR1163
- Practice address
- 85 E St
South Portland, ME 04106-2870 - Phone
- (207) 799-0972
- Fax
- (207) 799-4966
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CR1163 | ME | Primary |
Addresses
Primary practice location
85 E St
South Portland, ME 04106-2870
Mailing address
85 E St
South Portland, ME 04106-2870
Phone (207) 799-0972
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6744257 | Other | ME | CIGNA |
| 025865 | Other | ME | ANTHEM BC BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208217600000",
"number": "1962422378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 E ST",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062870",
"telephone_number": "207-799-0972",
"fax_number": "207-799-4966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 E ST",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062870",
"telephone_number": "207-799-0972",
"fax_number": "207-799-4966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNPHY",
"first_name": "FAWN",
"middle_name": "RAE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2008-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ME",
"license": "CR1163",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6744257",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC BS",
"identifier": "025865",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.