Crossroads Chiropractic Lakeside PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8580110 Issued in NH

Legal business name

CROSSROADS CHIROPRACTIC LAKESIDE PC

Practice address

3 Annalee PL
Meredith, NH 03253-5516

Phone

(603) 677-1444

NPI assigned

Jan 3, 2013

Organization subpart

No

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

Authorized official

Name

Stephanie MillsNPI 1760522254

Title

President

Phone

(603) 224-4281

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Graham D Moneysmith, D.C.

  • Chiropractor
  • Meredith, NH
  • NPI 1790967842
  Medicare reassignment Care Compare group NPD
• David Antonio Medina, D.C.

  • Chiropractor
  • Liberty, KY
  • NPI 1144521303

  Chiropractor, NH

  Medicare reassignment Care Compare group NPD
• Stephanie Ann Mills, D.C.

  • Chiropractor
  • Pembroke, NH
  • NPI 1760522254
  NPD (past) Authorized official

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1811234362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 PEMBROKE ST",
            "city": "PEMBROKE",
            "state": "NH",
            "postal_code": "032753246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ANNALEE PL",
            "city": "MEREDITH",
            "state": "NH",
            "postal_code": "032535516",
            "telephone_number": "603-677-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS CHIROPRACTIC LAKESIDE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-03",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-224-4281"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "8580110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Concord Orthopaedics Professional Association
• Sydra Curtin Cooperdock, DO
• Core Attachment Therapy, LLC
• Kathryn D. Cranford, ND, NHCM
• Carolyn S Crosby, MD
• Jamie Lynne Dauer, MS OTR/L
• David J De Sousa, LMT
• Dorothy Ann Derapelian, LCMHC
• Edward Detolla, DDS
• Katrine R Dionne, PHARMD

• All providers in Meredith, NH
• Chiropractor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.