Organization Active NPI

Path of Life Chiropractic Health Center, P.L.L.C.

  • Clinic/Center
  • Nashua, NH
National Provider Identifier
1497061725
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
862-0310 Issued in NH
Legal business name
PATH OF LIFE CHIROPRACTIC HEALTH CENTER, P.L.L.C.
Practice address
25 Merrit Pkwy Ste 4
Nashua, NH 03062-3078
Phone
(603) 886-8300
Fax
(603) 886-8302
NPI assigned
Aug 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Authorized official

Name
Dr. Amy L Haas, D.C.NPI 1760715155
Title
Owner / Chiropractor
Phone
(603) 886-8300

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
Clinic/Center 261Q00000X 862-0310 NH Primary

Addresses

Primary practice location

25 Merrit Pkwy Ste 4
Nashua, NH 03062-3078

Mailing address

25 Merrit Pkwy Ste 4
Nashua, NH 03062-3078
Phone (603) 886-8300

Other identifiers 1

IdentifierTypeStateIssuer
0024324OtherNHMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111117000678 NH Part B Supplier - Clinic/Group Practice 5092989558 Receives reassigned benefits from 1 practitioner
Practice locations: Nashua, NH

National Provider Directory

National Provider Directory

Locations

25 Merrit Pkwy
Ste 4
Nashua, NH 03062
Phone (603) 886-8300

Practitioners & affiliated clinicians

Practitioners 1

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": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1497061725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MERRIT PKWY STE 4",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030623078",
            "telephone_number": "603-886-8300",
            "fax_number": "603-886-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MERRIT PKWY STE 4",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030623078",
            "telephone_number": "603-886-8300",
            "fax_number": "603-886-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATH OF LIFE CHIROPRACTIC HEALTH CENTER, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "HAAS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER / CHIROPRACTOR",
        "authorized_official_telephone_number": "603-886-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NH",
            "license": "862-0310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0024324",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.