Organization Active NPI

Triskelia Wellness PLLC

  • Chiropractor
  • Derry, NH
National Provider Identifier
1376978585
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
905 Issued in NH
Legal business name
TRISKELIA WELLNESS PLLC
Practice address
16 Route 111 Ste 9
Derry, NH 03038-4142
Phone
(603) 824-6121
Fax
(603) 824-6134
NPI assigned
Sep 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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

Authorized official

Name
Dr. Dawn Demark-Buik, DCNPI 1811281165
Title
Owner
Phone
(603) 553-9538

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 905 NH Primary

Addresses

Primary practice location

16 Route 111 Ste 9
Derry, NH 03038-4142

Mailing address

16 Route 111 Ste 9
Derry, NH 03038-4142
Phone (603) 824-6121

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140825000173 NH Part B Supplier - Clinic/Group Practice 0648498287 Receives reassigned benefits from 2 practitioners
Practice locations: Derry, NH

National Provider Directory

National Provider Directory

Locations

16 Route 111
Ste 5
Derry, NH 03038
Phone (603) 505-4663

16 Route 111
Ste 9
Derry, NH 03038
Phone (603) 824-6121

Practitioners & affiliated clinicians

Practitioners 2

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": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550188800000",
    "number": "1376978585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 ROUTE 111 STE 9",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030384142",
            "telephone_number": "603-824-6121",
            "fax_number": "603-824-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 ROUTE 111 STE 9",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030384142",
            "telephone_number": "603-824-6121",
            "fax_number": "603-824-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISKELIA WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2019-02-15",
        "status": "A",
        "authorized_official_last_name": "DEMARK-BUIK",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-553-9538",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derry, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.