NPIMap

Organization Active NPI

Wentworth Douglass Community Corp

Doing business as The Works Athletic Club

  • Registered Dietitian
  • Somersworth, NH
National Provider Identifier
1649642828
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
WENTWORTH DOUGLASS COMMUNITY CORP
Doing business as
The Works Athletic Club
Practice address
23 Works Way
Somersworth, NH 03878-1638
Phone
(603) 742-2163
Fax
(603) 749-4907
NPI assigned
Oct 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Authorized official

Name
Samantha Merchant
Title
Assistant Executive Director
Phone
(603) 742-2163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X NH Primary

Addresses

Primary practice location

23 Works Way
Somersworth, NH 03878-1638

Mailing address

23 Works Way
Somersworth, NH 03878-1638
Phone (603) 742-2163

Other names 1

  • The Works Athletic Club Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1649642828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WORKS WAY",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038781638",
            "telephone_number": "603-742-2163",
            "fax_number": "603-749-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WORKS WAY",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038781638",
            "telephone_number": "603-742-2163",
            "fax_number": "603-749-4907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENTWORTH DOUGLASS COMMUNITY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "MERCHANT",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "ASSISTANT EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "603-742-2163"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Works Athletic Club",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somersworth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.

Verify at the official NPI Registry.