Organization Active NPI

Walsemann Chiropractic Life Center, P.a.

  • Chiropractor
  • Claremont, NH
National Provider Identifier
1508877978
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WALSEMANN CHIROPRACTIC LIFE CENTER, P.A.
Practice address
39 Mrytle St
Claremont, NH 03743-2547
Phone
(603) 542-7726
Fax
(603) 542-0471
NPI assigned
Aug 11, 2006
Last updated
Apr 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Authorized official

Name
Dr. Gary L Walsemann, D.C.NPI 1356351472
Title
President
Phone
(603) 542-7726

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 728-0704 NH
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

39 Mrytle St
Claremont, NH 03743-2547

Mailing address

39 Mrytle St
Claremont, NH 03743-2547
Phone (603) 542-7726

Other identifiers 1

IdentifierTypeStateIssuer
80358615MedicaidNH

Other names 1

  • Walsemann-Lanzara Chiropractic Life Center, P.A. Former legal business name

National Provider Directory

National Provider Directory

Locations

39 Myrtle St
Claremont, NH 03743
Phone (603) 542-7726

Practitioners & affiliated clinicians

Practitioners 6

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": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1508877978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 MRYTLE ST",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037432547",
            "telephone_number": "603-542-7726",
            "fax_number": "603-542-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 MRYTLE ST",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037432547",
            "telephone_number": "603-542-7726",
            "fax_number": "603-542-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALSEMANN CHIROPRACTIC LIFE CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "WALSEMANN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-542-7726",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "728-0704",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80358615",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walsemann-Lanzara Chiropractic Life Center, P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Claremont, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.