Individual provider Active NPI

Christian Fuentes Nevarez, DC

  • Chiropractor
  • Salem, NH
National Provider Identifier
1780347138
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1101 Issued in NH
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

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20220421002412 NH Practitioner - Chiropractic 5597152538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Associates of Bedford, P.a.Group PAC ID 0143252767, 3 clinicians

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

LicenseStateTypeSpecialty
1101NHMDClinical Psychologist
4728SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Associates of Bedford, P.a. Chiropractor CurrentSince Apr 15, 2022 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.

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.

Verify at the official NPI Registry.