Individual provider Active NPI

Samuel Glenn Hanna, DC

  • Chiropractor
  • Gorham, NH
National Provider Identifier
1720887516
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR3097 Issued in ME
Practice address
630 Main St
Gorham, NH 03581-4900
Phone
(603) 752-7727
Fax
(844) 951-2494
NPI assigned
Mar 12, 2025
Last updated
Aug 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CR3097 ME Primary

Addresses

Primary practice location

630 Main St
Gorham, NH 03581-4900

Mailing address

630 Main St
Gorham, NH 03581-4900
Phone (603) 752-7727

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250710000817 ME Practitioner - Chiropractic 4688188691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scarborough Family Chiropractic Inc.Group PAC ID 5597869537, 6 clinicians

Practice addresses (Care Compare)

20 Black Point Rd
Scarborough, ME 04074-9378
Phone (207) 885-9415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CR3097MEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Scarborough Family Chiropractic, P.C. Chiropractor CurrentSince May 3, 2025 Accepting new patients
Me Integrative Health Services LLC Chiropractor PastSince May 3, 2025 Accepting new patients

Locations

241 US Route 1
Ste 201
Falmouth, ME 04105
Phone (207) 274-5933

256 US Route 1
Falmouth, ME 04105
Phone (207) 274-5933

20 Black Point Rd
Scarborough, ME 04074
Phone (207) 274-5933

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1720887516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 MAIN ST",
            "city": "GORHAM",
            "state": "NH",
            "postal_code": "035814900",
            "telephone_number": "603-752-7727",
            "fax_number": "844-951-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 MAIN ST",
            "city": "GORHAM",
            "state": "NH",
            "postal_code": "035814900",
            "telephone_number": "603-752-7727",
            "fax_number": "844-951-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "SAMUEL",
        "middle_name": "GLENN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-12",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR3097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gorham, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.