Organization Active NPI

Churchill Chiropractic LLC

  • Chiropractor
  • Nashua, NH
National Provider Identifier
1104566462
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHURCHILL CHIROPRACTIC LLC
Practice address
39 Simon St Ste 3B
Nashua, NH 03060-3046
Phone
(603) 718-8459
NPI assigned
Apr 1, 2022
Last updated
Apr 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Authorized official

Name
Sarah Kelly
Title
Owner
Phone
(603) 718-8459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

39 Simon St Ste 3B
Nashua, NH 03060-3046

Mailing address

39 Simon St Ste 3B
Nashua, NH 03060-3046

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220620000208 NH Part B Supplier - Clinic/Group Practice 3870972011 Receives reassigned benefits from 1 practitioner
Practice locations: Nashua, NH

National Provider Directory

National Provider Directory

Locations

39 Simon St
Ste 3B
Nashua, NH 03060
Phone (603) 718-8459

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648771200000",
    "number": "1104566462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 SIMON ST STE 3B",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 SIMON ST STE 3B",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603046",
            "telephone_number": "603-718-8459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHURCHILL CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-718-8459"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.