Organization Active NPI

Granite State Chiropractic PLLC

  • Chiropractor
  • Laconia, NH
National Provider Identifier
1497172415
Registry record updated Mar 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
00203550380A Issued in NH
Legal business name
GRANITE STATE CHIROPRACTIC PLLC
Practice address
84 Hayes Rd
Laconia, NH 03246-1809
Phone
(603) 366-7337
Fax
(603) 366-5938
NPI assigned
Mar 27, 2014
Last updated
Mar 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2025

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

Authorized official

Name
Dr. Samantha K Ryan, DCNPI 1659937241
Title
Owner
Phone
(603) 366-7337

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 00203550380A NH Primary

Addresses

Primary practice location

84 Hayes Rd
Laconia, NH 03246-1809

Mailing address

84 Hayes Rd
Laconia, NH 03246-1809
Phone (603) 366-7337

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160825002683 NH Part B Supplier - Clinic/Group Practice 2466747787 Receives reassigned benefits from 2 practitioners
Practice locations: Laconia, NH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743206400000",
    "number": "1497172415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 HAYES RD",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032461809",
            "telephone_number": "603-366-7337",
            "fax_number": "603-366-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 HAYES RD",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032461809",
            "telephone_number": "603-366-7337",
            "fax_number": "603-366-5938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE STATE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2025-03-29",
        "certification_date": "2025-03-29",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-366-7337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "00203550380A",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 29, 2025; 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.