Gateway Chiropractic of Hanover, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

929 Issued in NH

Legal business name

GATEWAY CHIROPRACTIC OF HANOVER, LLC

Practice address

10 Buck Rd
Suite 8
Hanover, NH 03755-2700

Phone

(603) 667-0095

NPI assigned

Sep 23, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Albert Stralka, DCNPI 1003826595

Title

Owner/Operator

Phone

(603) 667-0095

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Locations

Practitioners 1

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

• Matthew Stralka, D.C.

  • Chiropractor
  • Hoboken, NJ
  • NPI 1003826595

  NH

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1710389663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BUCK RD",
            "address_2": "SUITE 8",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037552700",
            "telephone_number": "603-667-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BUCK RD",
            "address_2": "SUITE 8",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037552700",
            "telephone_number": "603-667-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY CHIROPRACTIC OF HANOVER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "STRALKA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "603-667-0095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Hanover, NH
• Providers in Hanover, NH by specialty
• Chiropractor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.