Individual provider Active NPI

Andrew Michael Cooledge, D.C.

  • Chiropractor
  • Dover, NH
National Provider Identifier
1023494143
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1002 Issued in NH
Practice address
383 Central Ave
Suite 264
Dover, NH 03820-6420
Phone
(207) 251-2932
NPI assigned
Jul 31, 2015
Last updated
May 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1002 NH Primary

Addresses

Primary practice location

383 Central Ave
Suite 264
Dover, NH 03820-6420

Mailing address

383 Central Ave
Suite 264
Dover, NH 03820
Phone (207) 251-2932

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180108002439 NH Practitioner - Chiropractic 1850650342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

383 Central Ave
Suite 264
Dover, NH 03820-6422
Phone (207) 251-2932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Family Chiropractic PLLC Chiropractor CurrentSince Nov 5, 2017 Accepting new patients

Locations

383 Central Ave
Ste 264
Dover, NH 03820
Phone (207) 251-2932

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1023494143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 CENTRAL AVE",
            "address_2": "SUITE 264",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "03820",
            "telephone_number": "207-251-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 CENTRAL AVE",
            "address_2": "SUITE 264",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038206420",
            "telephone_number": "207-251-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEDGE",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-31",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "1002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.