Individual provider Active NPI

Victoria Lynn Gonsalves, DC

  • Chiropractor
  • Manchester, NH
National Provider Identifier
1548918113
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1117 Issued in NH
Practice address
660 Mast Rd
Manchester, NH 03102-1218
Phone
(603) 809-8243
NPI assigned
Mar 14, 2022
Last updated
Mar 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1117 NH Primary

Addresses

Primary practice location

660 Mast Rd
Manchester, NH 03102-1218

Mailing address

51 Congress St Apt 2
Nashua, NH 03062-3334
Phone (603) 809-8243

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240523003955 MA Practitioner - Chiropractic 2961844717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Julie Ann BurkeGroup PAC ID 0244303428, 3 clinicians

Practice addresses (Care Compare)

383 Elliot St
Suite 250
Newton Upper Falls, MA 02464-1126
Phone (617) 964-3332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1117NHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Julie Ann Burke Chiropractor CurrentSince May 16, 2024 Accepting new patients
Family First Chiropractic PLLC Chiropractor CurrentSince Mar 27, 2022 Accepting new patients
Newton Physical Therapy, LLC CurrentSince May 16, 2024 Accepting new patients

Locations

383 Elliot St
Ste 250
Newton Upper Falls, MA 02464
Phone (617) 564-4600

660 Mast Rd
Manchester, NH 03102
Phone (603) 809-8243

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1548918113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 CONGRESS ST APT 2",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030623334",
            "telephone_number": "603-809-8243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 MAST RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031021218",
            "telephone_number": "603-809-8243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONSALVES",
        "first_name": "VICTORIA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "1117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.