Active NPI
Convenientmd LLC
- Urgent Care Clinic/Center
- Keene, NH
National Provider Identifier
1457721177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- CONVENIENTMD LLC
- Practice address
- 351 Winchester St
Keene, NH 03431-3930 - Phone
- (603) 352-3406
- NPI assigned
- Oct 7, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gareth Dickens
- Title
- Co-Ceo
- Phone
- (603) 501-0863
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
351 Winchester St
Keene, NH 03431-3930
Mailing address
18 Sheafe St
Portsmouth, NH 03801-3818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130410000222 | NH | Part B Supplier - Clinic/Group Practice | 2062667033 |
Receives reassigned benefits from 10 practitioners 18 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Windham, NH; Stratham, NH; Portsmouth, NH; Dover, NH; Plaistow, NH; Nashua, NH; Merrimack, NH; Manchester, NH… |
Other NPIs on the same Medicare enrollment 18
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444176000000",
"number": "1457721177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 SHEAFE ST",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038013818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 WINCHESTER ST",
"city": "KEENE",
"state": "NH",
"postal_code": "034313930",
"telephone_number": "603-352-3406"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONVENIENTMD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-07",
"last_updated": "2015-10-07",
"status": "A",
"authorized_official_last_name": "DICKENS",
"authorized_official_first_name": "GARETH",
"authorized_official_title_or_position": "CO-CEO",
"authorized_official_telephone_number": "603-501-0863",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keene, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.