Organization Active NPI

Pain Relief Center L.L.C

  • Chiropractor
  • Nashua, NH
National Provider Identifier
1114226149
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
729-0904 Issued in NH
Legal business name
PAIN RELIEF CENTER L.L.C
Practice address
163 Amherst St
Nashua, NH 03064-1396
Phone
(603) 886-4500
Fax
(603) 886-4515
NPI assigned
Mar 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Authorized official

Name
Stephen Dohoney, D.C/DAAPMNPI 1619025053
Title
Doctor/Owner
Phone
(603) 886-4500

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 729-0904 NH Primary

Addresses

Primary practice location

163 Amherst St
Nashua, NH 03064-1396

Mailing address

163 Amherst St
Nashua, NH 03064-1396
Phone (603) 886-4500

Other identifiers 1

IdentifierTypeStateIssuer
1114226149MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180223002138 NH Part B Supplier - Clinic/Group Practice 7911268487 Receives reassigned benefits from 1 practitioner
Practice locations: Nashua, NH

National Provider Directory

National Provider Directory
Tax ID family
Pain Relief Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

163 Amherst St
Nashua, NH 03064
Phone (603) 882-5971

163 Amherst St
Ste B
Nashua, NH 03064
Phone (603) 886-4500

Practitioners & affiliated clinicians

Practitioners 1

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": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1114226149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 AMHERST ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030641396",
            "telephone_number": "603-886-4500",
            "fax_number": "603-886-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 AMHERST ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030641396",
            "telephone_number": "603-886-4500",
            "fax_number": "603-886-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN RELIEF CENTER L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "DOHONEY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "603-886-4500",
        "authorized_official_credential": "D.C/DAAPM"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "729-0904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114226149",
            "state": "MA"
        }
    ],
    "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 10, 2018; 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.