Individual provider Active NPI

Robert S League, DC

  • Nutrition Chiropractor
  • Keene, NH
National Provider Identifier
1619982329
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
7120104 Issued in NH
Practice address
423 Winchester St
Keene, NH 03431-3944
Phone
(603) 355-9911
Fax
(603) 355-9916
NPI assigned
Jul 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 7120104 NH Primary

Addresses

Primary practice location

423 Winchester St
Keene, NH 03431-3944

Mailing address

815 Court St Unit 1
Keene, NH 03431-1770
Phone (603) 355-9911

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070205000143 NH Practitioner - Chiropractic 0345242343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

815 Court St
Unit 1
Keene, NH 03431-1770
Phone (603) 355-9911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
League Chiropractic, PLLC Nutrition CurrentSince Jun 1, 2006 Accepting new patients

Locations

815 Court St
Unit 1
Keene, NH 03431
Phone (603) 355-9911

103 Roxbury St
Ste 212
Keene, NH 03431
Phone (603) 355-9911

423 Winchester St
Keene, NH 03431
Phone (603) 355-9911

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.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1619982329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 COURT ST UNIT 1",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311770",
            "telephone_number": "603-355-9911",
            "fax_number": "603-355-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 WINCHESTER ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313944",
            "telephone_number": "603-355-9911",
            "fax_number": "603-355-9916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAGUE",
        "first_name": "ROBERT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "NH",
            "license": "7120104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.