Organization Active NPI

Bedford Gastroenterology,PLLC

  • Gastroenterology Physician
  • Bedford, NH
National Provider Identifier
1114734035
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
BEDFORD GASTROENTEROLOGY,PLLC
Practice address
9 Washington PL Ste 201
Bedford, NH 03110-6750
Phone
(603) 367-3064
Fax
(603) 367-3065
NPI assigned
Dec 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Dr. Christopher Nicholas Dainiak, MDNPI 1710942354
Title
Owner
Phone
(603) 367-3064

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
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

9 Washington PL Ste 201
Bedford, NH 03110-6750

Mailing address

9 Washington PL Ste 201
Bedford, NH 03110-6750
Phone (603) 367-3064

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250124002387 NH Part B Supplier - Clinic/Group Practice 0749719441 Receives reassigned benefits from 1 practitioner
Practice locations: Bedford, NH

National Provider Directory

National Provider Directory

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": "1734048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1114734035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WASHINGTON PL STE 201",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106750",
            "telephone_number": "603-367-3064",
            "fax_number": "603-367-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 WASHINGTON PL STE 201",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106750",
            "telephone_number": "603-367-3064",
            "fax_number": "603-367-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDFORD GASTROENTEROLOGY,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-13",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "DAINIAK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-367-3064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.