NPIMap

Organization Active NPI

Upper Valley Chiropractic PLLC

  • Chiropractor
  • West Lebanon, NH
National Provider Identifier
1730107665
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
713-0204 Issued in NH
Legal business name
UPPER VALLEY CHIROPRACTIC PLLC
Practice address
107 S Main St
West Lebanon, NH 03784-1618
Phone
(602) 298-7400
Fax
(603) 298-7421
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Amber Lynn McLelland, DCNPI 1447278379
Title
Owner
Phone
(603) 298-7400

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 713-0204 NH Primary

Addresses

Primary practice location

107 S Main St
West Lebanon, NH 03784-1618

Mailing address

107 S Main St
West Lebanon, NH 03784-1618
Phone (602) 298-7400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061218000364 NH Part B Supplier - Clinic/Group Practice 4385643634 Receives reassigned benefits from 3 practitioners
Practice locations: Lebanon, NH

National Provider Directory

National Provider Directory

Locations

103 Hanover St
Lebanon, NH 03766
Phone (603) 298-7400

103 Hanover St
Ste 14
Lebanon, NH 03766
Phone (603) 298-7400

Practitioners & affiliated clinicians

Practitioners 4

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": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730107665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S MAIN ST",
            "city": "WEST LEBANON",
            "state": "NH",
            "postal_code": "037841618",
            "telephone_number": "602-298-7400",
            "fax_number": "603-298-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S MAIN ST",
            "city": "WEST LEBANON",
            "state": "NH",
            "postal_code": "037841618",
            "telephone_number": "602-298-7400",
            "fax_number": "603-298-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER VALLEY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCLELLAND",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-298-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "713-0204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lebanon, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.