Organization Active NPI

Wentworth Douglass Hospital

  • Clinic/Center
  • Somersworth, NH
National Provider Identifier
1013522994
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WENTWORTH DOUGLASS HOSPITAL
Practice address
200 Route 108 Ste 3
Somersworth, NH 03878-1119
Phone
(603) 742-6673
NPI assigned
Sep 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Joel Degenaars
Title
Executive Director of Finance
Phone
(617) 726-3884

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Bone Densitometry Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471B0102X
Clinic/Center 261Q00000X Primary
Mammography Clinic/Center 261QR0206X

Addresses

Primary practice location

200 Route 108 Ste 3
Somersworth, NH 03878-1119

Mailing address

PO Box 412540
Boston, MA 02241-2540

National Provider Directory

National Provider Directory
Tax ID family
Scott J Low DO17 organizations share this tax ID, including this one
Part of
Scott J Low DO

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1013522994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412540",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ROUTE 108 STE 3",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038781119",
            "telephone_number": "603-742-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENTWORTH DOUGLASS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-09",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "DEGENAARS",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "617-726-3884"
    },
    "taxonomies": [
        {
            "code": "2471B0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Bone Densitometry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somersworth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.