New England Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

697-0703 Issued in NH

Legal business name

NEW ENGLAND CHIROPRACTIC PLLC

Doing business as

Derry Chiropractic

Practice address

1F Commons Dr Unit 37
Londonderry, NH 03053-3478

Phone

(603) 437-0400

Fax

(603) 437-0443

NPI assigned

Apr 14, 2008

Last updated

Aug 19, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christian Kotulak, D.C.NPI 1649227117

Title

Member

Phone

(603) 437-0400

Specialties & licenses 1

Addresses

Other names 1

• DERRY CHIROPRACTIC Doing business as

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Locations

Practitioners 1

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.

• Christian Kotulak, D.C.

  • Chiropractor
  • Londonderry, NH
  • NPI 1649227117
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1780858506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1F COMMONS DR UNIT 37",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533478",
            "telephone_number": "603-437-0400",
            "fax_number": "603-437-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1F COMMONS DR UNIT 37",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533478",
            "telephone_number": "603-437-0400",
            "fax_number": "603-437-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "KOTULAK",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "603-437-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "697-0703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DERRY CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DERRY CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Deirdre Nelson
• Neuropathy Comfort Center of New England LLC
• Mary E Neville, SLP
• New England Molecular Imaging LLC
• New Hampshire Foot and Ankle PLLC
• New Hampshire Foot and Ankle Specialists PLLC
• Alina Marie Newcombe, LMT
• Dang Nguyen, PA

• Chiropractor in Londonderry, NH
• Providers in Londonderry, NH by specialty
• Chiropractor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.