Organization Active NPI

Salem Chiropractic Center, PC

  • Chiropractor
  • Windham, NH
National Provider Identifier
1710180757
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SALEM CHIROPRACTIC CENTER, PC
Practice address
58 Range Rd Ste R-03
Windham, NH 03087-2026
Phone
(603) 898-0030
Fax
(603) 894-6343
NPI assigned
Jun 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Authorized official

Name
Dr. Glenn J Kneeland, DCNPI 1518068170
Title
Owner
Phone
(603) 898-0030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X NH Primary

Addresses

Primary practice location

58 Range Rd Ste R-03
Windham, NH 03087-2026

Mailing address

58 Range Rd Ste R-03
Windham, NH 03087-2026
Phone (603) 898-0030

Other identifiers 1

IdentifierTypeStateIssuer
733402OtherNHTUFTS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051114001088 NH Part B Supplier - Clinic/Group Practice 4789603283 Receives reassigned benefits from 2 practitioners
Practice locations: Windham, NH

National Provider Directory

National Provider Directory

Locations

53 Stiles Rd
Ste 105
Salem, NH 03079
Phone (603) 898-0030

29 Stiles Rd
Ste 202
Salem, NH 03079
Phone (603) 890-1000

58 Range Rd
Ste R3
Windham, NH 03087
Phone (603) 894-0063

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1710180757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 RANGE RD STE R-03",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030872026",
            "telephone_number": "603-898-0030",
            "fax_number": "603-894-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 RANGE RD STE R-03",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030872026",
            "telephone_number": "603-898-0030",
            "fax_number": "603-894-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM CHIROPRACTIC CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "KNEELAND",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-898-0030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "733402",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windham, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.