Organization Active NPI

Dr-DO-Omm LLC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Amherst, NH
National Provider Identifier
1558067538
Registry record updated Mar 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
Legal business name
DR-DO-OMM LLC
Doing business as
Renegade Osteopathy
Practice address
292 Route 101 Unit F-1
Amherst, NH 03031-1730
Phone
(603) 341-9144
Fax
(949) 864-3717
NPI assigned
Feb 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2026

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

Authorized official

Name
Dr. James C Sullivan, DONPI 1023422748
Title
Physician/ Owner
Phone
(603) 341-9144

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
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204D00000X Primary

Addresses

Primary practice location

292 Route 101 Unit F-1
Amherst, NH 03031-1730

Mailing address

17 New South Dr
Amherst, NH 03031-1606
Phone (603) 759-1575

Other identifiers 1

IdentifierTypeStateIssuer
1023422748MedicaidNH

Other names 1

  • Renegade Osteopathy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260331000474 NH Part B Supplier - Clinic/Group Practice 3971093725 Receives reassigned benefits from 1 practitioner
Practice locations: Amherst, NH

National Provider Directory

National Provider Directory

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": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773446400000",
    "number": "1558067538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 NEW SOUTH DR",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030311606",
            "telephone_number": "603-759-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 ROUTE 101 UNIT F-1",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030311730",
            "telephone_number": "603-341-9144",
            "fax_number": "949-864-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR-DO-OMM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2026-03-14",
        "certification_date": "2026-03-14",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN/ OWNER",
        "authorized_official_telephone_number": "603-341-9144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023422748",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renegade Osteopathy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amherst, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2026; 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.