Active NPI
Jonathan Eldridge, D.C.
- Chiropractor
- North Conway, NH
National Provider Identifier
1639553886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 958
- Practice address
- 3294 White Mountain Highway
North Conway, NH 03860 - Phone
- (603) 730-5478
- NPI assigned
- Jul 17, 2015
- Last updated
- Jul 17, 2015
- Sex
- Male
- Sole proprietor
- No
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 | 958 | NH | Primary |
Addresses
Primary practice location
3294 White Mountain Highway
North Conway, NH 03860
Mailing address
PO Box 702
Intervale, NH 03845-0702
Phone (603) 730-5478
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
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Structured Chiropractic
- Chiropractor
- North Conway, NH
- NPI 1003264045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437091200000",
"number": "1639553886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 702",
"city": "INTERVALE",
"state": "NH",
"postal_code": "038450702",
"telephone_number": "603-730-5478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3294 WHITE MOUNTAIN HIGHWAY",
"city": "NORTH CONWAY",
"state": "NH",
"postal_code": "03860",
"telephone_number": "603-730-5478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDRIDGE",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-17",
"last_updated": "2015-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NH",
"license": "958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Conway, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.