NPIMap

Organization Active NPI

Candria Foot & Ankle Specialists PLLC

  • Podiatrist
  • Salem, NH
National Provider Identifier
1013682905
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
CANDRIA FOOT & ANKLE SPECIALISTS PLLC
Practice address
32 Stiles Rd Ste 102
Salem, NH 03079-2893
Phone
(603) 328-8437
Fax
(603) 328-8554
NPI assigned
Aug 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Pasquale Cancelliere, DPMNPI 1184860835
Title
Podiatrist, Owner
Phone
(603) 216-2972

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
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

32 Stiles Rd Ste 102
Salem, NH 03079-2893

Mailing address

25 Buttrick Rd Ste D1
Londonderry, NH 03053-3353
Phone (603) 216-2972

Other practice location 1

25 Buttrick Rd Ste D1
Londonderry, NH 03053-3353
Phone (603) 216-2972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210830003005 NH Part B Supplier - Clinic/Group Practice 4183020175 Receives reassigned benefits from 2 practitioners
Practice locations: Londonderry, NH; Salem, NH
O20231010002282 NH DME Supplier - Physician - Podiatry 4183020175 Practice locations: Londonderry, NH

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Candria Foot Ankle Specialists PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1013682905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BUTTRICK RD STE D1",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533353",
            "telephone_number": "603-216-2972",
            "fax_number": "603-216-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 STILES RD STE 102",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792893",
            "telephone_number": "603-328-8437",
            "fax_number": "603-328-8554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Buttrick Rd Ste D1",
            "address_purpose": "LOCATION",
            "city": "Londonderry",
            "state": "NH",
            "postal_code": "030533353",
            "country_code": "US",
            "telephone_number": "603-216-2972",
            "fax_number": "603-216-5675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CANDRIA FOOT & ANKLE SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "CANCELLIERE",
        "authorized_official_first_name": "PASQUALE",
        "authorized_official_title_or_position": "PODIATRIST, OWNER",
        "authorized_official_telephone_number": "603-216-2972",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.