Organization Active NPI

Christopher Bush DPM, PLLC

  • Podiatrist
  • Dover, NH
National Provider Identifier
1699178459
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0295 Issued in NH
Legal business name
CHRISTOPHER BUSH DPM, PLLC
Practice address
130 Central Ave
Suite LL7
Dover, NH 03820-4042
Phone
(603) 929-9119
Fax
(603) 379-2047
NPI assigned
Oct 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Authorized official

Name
Dr. Christopher Andrew Bush, D.P.M.
Title
Physician/Owner
Phone
(603) 929-9119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 0295 NH Primary

Addresses

Primary practice location

130 Central Ave
Suite LL7
Dover, NH 03820-4042

Mailing address

130 Central Ave
Suite LL7
Dover, NH 03820-4042
Phone (603) 929-9119

Other identifiers 1

IdentifierTypeStateIssuer
3074950MedicaidNH

National Provider Directory

National Provider Directory

Locations

130 Central Ave
Ste LL7
Dover, NH 03820
Phone (603) 929-9119

1 Merrill Industrial Dr
Ste D21
Hampton, NH 03842
Phone (603) 929-9119

64 Lafayette Rd
Unit 11
North Hampton, NH 03862
Phone (603) 315-3678

NPI Registry JSON

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1699178459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 CENTRAL AVE",
            "address_2": "SUITE LL7",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038204042",
            "telephone_number": "603-929-9119",
            "fax_number": "603-379-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CENTRAL AVE",
            "address_2": "SUITE LL7",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038204042",
            "telephone_number": "603-929-9119",
            "fax_number": "603-379-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER BUSH DPM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-07",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "603-929-9119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NH",
            "license": "0295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3074950",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.