NPIMap

Organization Active NPI

Wentworth Douglass Physician Corporation

Doing business as The Doorway at WD

  • Addiction (Substance Use Disorder) Counselor
  • Dover, NH
National Provider Identifier
1710504683
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
WENTWORTH DOUGLASS PHYSICIAN CORPORATION
Doing business as
The Doorway at WD
Practice address
798 Central Ave
Dover, NH 03820-2520
Phone
(603) 609-6690
NPI assigned
Jun 26, 2020
Last updated
Dec 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Joel Degenaars
Title
Executive Director of Finance
Phone
(603) 740-2806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

798 Central Ave
Dover, NH 03820-2520

Mailing address

PO Box 412503
Boston, MA 02241-2503
Phone (617) 726-3884

Other practice location 1

789 Central Ave
Dover, NH 03820-2526
Phone (603) 609-6690

Other practice location 2

15 Old Rollinsford Rd Ste 301
Dover, NH 03820-2819
Phone (603) 609-6690

Other identifiers 3

IdentifierTypeStateIssuer
3126909MedicaidNH
3138637MedicaidNH
3117235MedicaidNH

Other names 1

  • The Doorway at WD Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040409000433 NH Part B Supplier - Clinic/Group Practice 5496749848 Receives reassigned benefits from 607 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lee, NH; Portsmouth, NH; Rochester, NH; Somersworth, NH; Dover, NH; Durham, NH; Barrington, NH

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Bellamy Health Center3 organizations share this tax ID, including this one
Part of
Bellamy Health Center

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10 Members Way
Ste 203
Dover, NH 03820
Phone (603) 742-3174

7 Marsh Brook Dr
Ste 205
Somersworth, NH 03878
Phone (603) 609-6189

Practitioners & affiliated clinicians

Practitioners 74

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.

View all 74

NPI Registry JSON

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1710504683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412503",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412503",
            "telephone_number": "617-726-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202520",
            "telephone_number": "603-609-6690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "789 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038202526",
            "country_code": "US",
            "telephone_number": "603-609-6690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Old Rollinsford Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038202819",
            "country_code": "US",
            "telephone_number": "603-609-6690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WENTWORTH DOUGLASS PHYSICIAN CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-26",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "DEGENAARS",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "603-740-2806"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3126909",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3138637",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3117235",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Doorway at WD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 17, 2025; 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.