Kuerstin Marie Fordham-Macedo, D.C.

Individual provider Active NPI Chiropractor · Hampton, NH

NPI 1619925005 · NPPES record last updated Apr 25, 2013

Key facts

NPI
1619925005
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
841-0409 (NH)
Practice address
58 Winnacunnet Rd
Hampton, NH 03842-2121
Phone
(603) 929-5000
Fax
(603) 929-5008
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
841-0409NHMDChiropractor
X010941-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dodge Chiropractic, PLLC Chiropractor Past Accepting new patients
Tri County Chiropractic PC Chiropractor Past
since Nov 1, 2000
Accepting new patients
Infinite Possibilities, LLC Chiropractor Past
since Jul 19, 2016
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X010941-1 NY
Chiropractor 111N00000X 841-0409 NH Yes

Addresses

Primary practice location

58 Winnacunnet Rd
Hampton, NH 03842-2121

Mailing address

58 Winnacunnet Rd
Hampton, NH 03842-2121
Phone (603) 997-6278

Other providers in Hampton, NH

All providers in Hampton, NH · Chiropractor in New Hampshire

Sources for this page

Verify at the official NPI Registry.