Active NPI
Robert John Nesham, DC
- Chiropractor
- Tilton, NH
National Provider Identifier
1366515223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 192A
- Practice address
- 4 Prospect St
Tilton, NH 03270-0296 - Phone
- (603) 286-3306
- Fax
- (603) 288-8991
- NPI assigned
- Nov 16, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 192A | NH | Primary |
Addresses
Primary practice location
4 Prospect St
Tilton, NH 03270-0296
Mailing address
Pob 294
Tilton, NH 03270-0294
Phone (603) 286-3306
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80358603 | Medicaid | NH | |
| 865 | Other | NH | GIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 192A | NH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366515223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "POB 294",
"city": "TILTON",
"state": "NH",
"postal_code": "032700294",
"telephone_number": "603-286-3306",
"fax_number": "603-286-8991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 PROSPECT ST",
"city": "TILTON",
"state": "NH",
"postal_code": "032700296",
"telephone_number": "603-286-3306",
"fax_number": "603-288-8991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESHAM",
"first_name": "ROBERT",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NH",
"license": "192A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80358603",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GIGNA",
"identifier": "865",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tilton, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.