Active NPI
Mark William Stagnone, D.C.
- Chiropractor
- Londonderry, NH
National Provider Identifier
1215073861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- NH108-1085A
- Practice address
- 50 Nashua Rd
Ste 106
Londonderry, NH 03053-3400 - Phone
- (603) 434-1236
- NPI assigned
- Jan 30, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NH108-1085A | NH | Primary |
Addresses
Primary practice location
50 Nashua Rd
Ste 106
Londonderry, NH 03053-3400
Mailing address
50 Nashua Rd
Ste 106
Londonderry, NH 03053-3400
Phone (603) 434-1236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051115001153 | NH | Practitioner - Chiropractic | 6103845458 | Practice locations: Londonderry, NH |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
50 Nashua Rd
Suite 106
Londonderry, NH 03053-3422
Phone (603) 434-1236
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NH108-1085A | NH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215073861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 NASHUA RD",
"address_2": "STE 106",
"city": "LONDONDERRY",
"state": "NH",
"postal_code": "030533400",
"telephone_number": "603-434-1236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 NASHUA RD",
"address_2": "STE 106",
"city": "LONDONDERRY",
"state": "NH",
"postal_code": "030533400",
"telephone_number": "603-434-1236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAGNONE",
"first_name": "MARK",
"middle_name": "WILLIAM",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NH",
"license": "NH108-1085A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Londonderry, NH
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- Rose Stanzione
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- Stephen P. Byrnes, O.D.
- Stepping Stones Pediatric Therapy, Inc
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.