Organization Active NPI

The Doctor'S Office at Salmon Street PC

  • General Practice Physician
  • Manchester, NH
National Provider Identifier
1659481950
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
THE DOCTOR'S OFFICE AT SALMON STREET PC
Practice address
765 S Main St
Suite 103
Manchester, NH 03102-5141
Phone
(603) 625-1724
Fax
(603) 625-1230
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Authorized official

Name
Julie Swiadas
Title
Practice Manager
Phone
(603) 625-1724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

765 S Main St
Suite 103
Manchester, NH 03102-5141

Mailing address

765 S Main St
Suite 103
Manchester, NH 03102-5141
Phone (603) 625-1724

Other identifiers 1

IdentifierTypeStateIssuer
3074417MedicaidNH

National Provider Directory

National Provider Directory

Locations

102 Bay St
Manchester, NH 03104
Phone (603) 625-1724

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1659481950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 S MAIN ST",
            "address_2": "SUITE 103",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031025141",
            "telephone_number": "603-625-1724",
            "fax_number": "603-625-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 S MAIN ST",
            "address_2": "SUITE 103",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031025141",
            "telephone_number": "603-625-1724",
            "fax_number": "603-625-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DOCTOR'S OFFICE AT SALMON STREET PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "SWIADAS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "603-625-1724"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3074417",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.