Active NPI
Keith P Lavalliere, DC
- Chiropractor
- Bedford, NH
National Provider Identifier
1619115854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8260908
- Practice address
- 360 Route 101
Unit # 7
Bedford, NH 03110-5030 - Phone
- (603) 647-0600
- Fax
- (603) 647-0633
- NPI assigned
- Jan 27, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8260908 | NH | Primary |
Addresses
Primary practice location
360 Route 101
Unit # 7
Bedford, NH 03110-5030
Mailing address
360 Route 101
Unit # 7
Bedford, NH 03110-5030
Phone (603) 647-0600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8260908 | NH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New England Center for Naturopathic Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Naturopath
- Bedford, NH
- NPI 1619214376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466726400000",
"number": "1619115854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 ROUTE 101",
"address_2": "UNIT # 7",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031105030",
"telephone_number": "603-647-0600",
"fax_number": "603-647-0633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 ROUTE 101",
"address_2": "UNIT # 7",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031105030",
"telephone_number": "603-647-0600",
"fax_number": "603-647-0633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVALLIERE",
"first_name": "KEITH",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-27",
"last_updated": "2016-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NH",
"license": "8260908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.