Individual provider Active NPI

Bryan Jason Natusch, D.C.

  • Chiropractor
  • West Lebanon, NH
National Provider Identifier
1154343283
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
718-0404 Issued in NH
Practice address
107 S Main St
West Lebanon, NH 03784-1618
Phone
(603) 298-7400
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 718-0404 NH Primary

Addresses

Primary practice location

107 S Main St
West Lebanon, NH 03784-1618

Mailing address

19 Parkhurst St Apt 1
Lebanon, NH 03766-1318
Phone (603) 448-1951

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060921000614 NH Practitioner - Chiropractic 9537164751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upper Valley Chiropractic PLLCGroup PAC ID 4385643634, 3 clinicians

Practice addresses (Care Compare)

103 Hanover St
Lebanon, NH 03766-1098
Phone (603) 298-7400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Valley Chiropractic PLLC Chiropractor CurrentSince Jul 7, 2011 Accepting new patients

Locations

103 Hanover St
Ste 14
Lebanon, NH 03766
Phone (603) 298-7400

103 Hanover St
Lebanon, NH 03766
Phone (603) 298-7400

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154343283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 PARKHURST ST APT 1",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661318",
            "telephone_number": "603-448-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S MAIN ST",
            "city": "WEST LEBANON",
            "state": "NH",
            "postal_code": "037841618",
            "telephone_number": "603-298-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATUSCH",
        "first_name": "BRYAN",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "718-0404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lebanon, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.