NPIMap

Organization Active NPI

Goffstown Chiropractic Care, PLLC

  • Chiropractor
  • Goffstown, NH
National Provider Identifier
1164471306
Registry record updated Sep 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
538A0898 Issued in NH
Legal business name
GOFFSTOWN CHIROPRACTIC CARE, PLLC
Practice address
17A Tatro Rd
Suite 101
Goffstown, NH 03045-2369
Phone
(603) 384-1680
Fax
(603) 384-1679
NPI assigned
May 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2011

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

Authorized official

Name
Dr. Peter N. Bailey, DCNPI 1902802226
Title
Manager
Phone
(603) 384-1680

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 538A0898 NH Primary

Addresses

Primary practice location

17A Tatro Rd
Suite 101
Goffstown, NH 03045-2369

Mailing address

17A Tatro Rd
Suite 101
Goffstown, NH 03045-2369
Phone (603) 384-1680

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060517000103 NH Part B Supplier - Clinic/Group Practice 1951312461 Receives reassigned benefits from 5 practitioners
Practice locations: Goffstown, NH

National Provider Directory

National Provider Directory

Locations

17A Tatro Rd
Ste 101
Goffstown, NH 03045
Phone (603) 384-1680

Practitioners & affiliated clinicians

Practitioners 6

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": "1146873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316822400000",
    "number": "1164471306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17A TATRO RD",
            "address_2": "SUITE 101",
            "city": "GOFFSTOWN",
            "state": "NH",
            "postal_code": "030452369",
            "telephone_number": "603-384-1680",
            "fax_number": "603-384-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17A TATRO RD",
            "address_2": "SUITE 101",
            "city": "GOFFSTOWN",
            "state": "NH",
            "postal_code": "030452369",
            "telephone_number": "603-384-1680",
            "fax_number": "603-384-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOFFSTOWN CHIROPRACTIC CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-06",
        "last_updated": "2011-09-24",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "603-384-1680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "538A0898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goffstown, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2011; 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.