Organization Active NPI

Cocheco Neurology PLLC

Doing business as Cocheco Neurology

  • Medical Specialty Clinic/Center
  • Dover, NH
National Provider Identifier
1194086587
Registry record updated Jun 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
14852 Issued in NH
Legal business name
COCHECO NEUROLOGY PLLC
Doing business as
Cocheco Neurology
Practice address
750 Central Ave
Suite B
Dover, NH 03820-3434
Phone
(603) 583-1458
NPI assigned
Jun 2, 2012
Last updated
Jun 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2012

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

Authorized official

Name
Dr. Kishori Somyreddy, M.D.,
Title
Member
Phone
(603) 583-1458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 14852 NH Primary

Addresses

Primary practice location

750 Central Ave
Suite B
Dover, NH 03820-3434

Mailing address

37 Mallard LN
Dover, NH 03820-5016
Phone (603) 583-1458

Other names 1

  • Cocheco Neurology Doing business as

National Provider Directory

National Provider Directory

Locations

750 Central Ave
Ste B
Dover, NH 03820
Phone (603) 343-5025

750 Central Ave
Ste Q
Dover, NH 03820
Phone (603) 742-6030

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": "1338595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338595200000",
    "number": "1194086587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 MALLARD LN",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038205016",
            "telephone_number": "603-583-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 CENTRAL AVE",
            "address_2": "SUITE B",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203434",
            "telephone_number": "603-583-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCHECO NEUROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-02",
        "last_updated": "2012-06-02",
        "status": "A",
        "authorized_official_last_name": "SOMYREDDY",
        "authorized_official_first_name": "KISHORI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "603-583-1458",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NH",
            "license": "14852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cocheco Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.