Individual provider Active NPI

Cheryl Dagnon

  • Audiologist
  • Laconia, NH
National Provider Identifier
1487612438
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A197 Issued in NH
Practice address
85 Spring St
Laconia, NH 03246-3113
Phone
(603) 524-7402
NPI assigned
May 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A197 NH Primary

Addresses

Primary practice location

85 Spring St
Laconia, NH 03246-3113

Mailing address

85 Spring St.
Laconia, NH 03246-3113
Phone (603) 524-7402

Other identifiers 1

IdentifierTypeStateIssuer
30431486MedicaidNH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050621001107 NH Practitioner - Qualified Audiologist 2567407539 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Hospital-LaconiaGroup PAC ID 7012326259, 275 clinicians

Practice addresses (Care Compare)

85 Spring St
Suite 2A1
Laconia, NH 03246-3113
Phone (603) 524-1600

Hospital & facility affiliations

  • Concord Hospital- Laconia Hospital, Laconia, NH, CCN 300005

Merit-based Incentive Payment System (MIPS)

Final score
89 of 100Reported as apm
Quality
73.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A197NHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital, Inc. Current Accepting new patients
Concord Hospital, Inc. CurrentSince Oct 1, 2020 Accepting new patients
Concord Hospital, Inc. CurrentSince Oct 1, 2020 Accepting new patients
Concord Hospital-Franklin CurrentSince Sep 1, 2015 Accepting new patients
Concord Hospital-Laconia CurrentSince Oct 1, 2024 Accepting new patients
Lrghealthcare CurrentSince Sep 1, 2015 Accepting new patients
ENT Associates of New Hampshire PA Past Accepting new patients
Concord Hospital-Laconia Past Accepting new patients

Locations

246 Pleasant St
Concord, NH 03301
Phone (603) 224-1223

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

60 Commercial St
Ste 401
Concord, NH 03301
Phone (603) 228-7555

85 Spring St
Ste 2A1
Laconia, NH 03246
Phone (603) 524-1600

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

85 Spring St
Ste 103
Laconia, NH 03246
Phone (603) 524-7402

85 Spring St
#103
Laconia, NH 03246
Phone (603) 524-7402

85 Spring St
Ste 104
Laconia, NH 03246
Phone (603) 524-7402

85 Spring St
Laconia, NH 03246
Phone (603) 524-7402

238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7464

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1487612438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SPRING ST.",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463113",
            "telephone_number": "603-524-7402",
            "fax_number": "603-227-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SPRING ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463113",
            "telephone_number": "603-524-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGNON",
        "first_name": "CHERYL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NH",
            "license": "A197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30431486",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laconia, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.

Verify at the official NPI Registry.