Active NPI
Christian Fuentes Nevarez, DC
- Chiropractor
- Salem, NH
National Provider Identifier
1780347138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1101
- Practice address
- 236 N Broadway
Salem, NH 03079-2195 - Phone
- (603) 605-8860
- NPI assigned
- Oct 21, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4728 | SC | |
| Chiropractor | 111N00000X | 1101 | NH | Primary |
Addresses
Primary practice location
236 N Broadway
Salem, NH 03079-2195
Mailing address
9 Bancroft St Apt 512
Nashua, NH 03060-3979
Phone (939) 286-0606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
765 S Main St
Suite 201
Manchester, NH 03102-5141
Phone (603) 626-3900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1101 | NH | MD | Clinical Psychologist |
| 4728 | SC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Associates of Bedford, P.a. | Chiropractor | Current | Accepting new patients |
Locations
765 S Main St
Ste 201
Manchester, NH 03102
Phone (603) 626-3900
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Manchester, NH
- NPI 1710024682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634774400000",
"number": "1780347138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 BANCROFT ST APT 512",
"city": "NASHUA",
"state": "NH",
"postal_code": "030603979",
"telephone_number": "939-286-0606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 N BROADWAY",
"city": "SALEM",
"state": "NH",
"postal_code": "030792195",
"telephone_number": "603-605-8860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUENTES NEVAREZ",
"first_name": "CHRISTIAN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-21",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "4728",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NH",
"license": "1101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.