Active NPI
Richard Allan Gary
- Foster Care Agency
- Bangor, ME
National Provider Identifier
1962731471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foster Care Agency
- Practice address
- 363 Fern St
Bangor, ME 04401-4060 - Phone
- (207) 944-1848
- NPI assigned
- Dec 11, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | ME | Primary |
Addresses
Primary practice location
363 Fern St
Bangor, ME 04401-4060
Mailing address
PO Box 217
Bangor, ME 04402-0217
Phone (207) 944-1848
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432708200 | Other | ME | STATE OF MAINE PROVIDER NUMBER |
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gary Agency | Foster Care Agency | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foster Care Agency
- Bangor, ME
- NPI 1720212491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260489600000",
"number": "1962731471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 217",
"city": "BANGOR",
"state": "ME",
"postal_code": "044020217",
"telephone_number": "207-944-1848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "363 FERN ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044014060",
"telephone_number": "207-944-1848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARY",
"first_name": "RICHARD",
"middle_name": "ALLAN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-11",
"last_updated": "2009-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": "ME",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MAINE PROVIDER NUMBER",
"identifier": "432708200",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.