NPIMap

Organization Active NPI

Spinal Corrective Center

  • Chiropractor
  • Amherst, NH
National Provider Identifier
1679824072
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2390496 Issued in NH
Legal business name
SPINAL CORRECTIVE CENTER
Practice address
1 Overlook Dr Ste 7
Amherst, NH 03031-2800
Phone
(603) 673-5600
Fax
(603) 673-6688
NPI assigned
Sep 25, 2012
Last updated
Sep 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Authorized official

Name
Dr. Jennifer Bruck Cretsinger, D.C.
Title
Manager
Phone
(603) 673-5600

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2400496 NH
Chiropractor 111N00000X 904 NH
Chiropractor 111N00000X 2390496 NH Primary

Addresses

Primary practice location

1 Overlook Dr Ste 7
Amherst, NH 03031-2800

Mailing address

1 Overlook Dr Ste 7
Amherst, NH 03031-2800
Phone (603) 673-5600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121219000399 NH Part B Supplier - Clinic/Group Practice 8224280227 Receives reassigned benefits from 1 practitioner
Practice locations: Amherst, NH

National Provider Directory

National Provider Directory

Locations

1 Overlook Dr
Ste 7
Amherst, NH 03031
Phone (603) 673-5600

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1679824072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OVERLOOK DR STE 7",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030312800",
            "telephone_number": "603-673-5600",
            "fax_number": "603-673-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OVERLOOK DR STE 7",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030312800",
            "telephone_number": "603-673-5600",
            "fax_number": "603-673-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL CORRECTIVE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-25",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "CRETSINGER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BRUCK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "603-673-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "2400496",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "904",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "2390496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.