Organization Active NPI

Awakening Chiropractic, PLLC

  • Chiropractor
  • Tilton, NH
National Provider Identifier
1619250412
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
779-1206 Issued in NH
Legal business name
AWAKENING CHIROPRACTIC, PLLC
Practice address
7 Grange Rd
Tilton, NH 03276-5809
Phone
(603) 729-0009
NPI assigned
Sep 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Authorized official

Name
Dr. Jilian Stogniew, DCNPI 1942328638
Title
Chiropractor
Phone
(603) 729-0009

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 779-1206 NH Primary

Addresses

Primary practice location

7 Grange Rd
Tilton, NH 03276-5809

Mailing address

7 Grange Rd
Tilton, NH 03276-5809

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120109000619 NH Part B Supplier - Clinic/Group Practice 9335315613 Receives reassigned benefits from 2 practitioners
Practice locations: Tilton, NH

National Provider Directory

National Provider Directory

Locations

7 Grange Rd
Tilton, NH 03276
Phone (603) 729-0009

Practitioners & affiliated clinicians

Practitioners 4

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": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1619250412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GRANGE RD",
            "city": "TILTON",
            "state": "NH",
            "postal_code": "032765809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 GRANGE RD",
            "city": "TILTON",
            "state": "NH",
            "postal_code": "032765809",
            "telephone_number": "603-729-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKENING CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "STOGNIEW",
        "authorized_official_first_name": "JILIAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "603-729-0009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "779-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tilton, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.