Patricia Grace Wentworth, D.C., ATC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6191200 Issued in NH

Practice address

74 State Rd, Ret1
Kittery, ME 03904

Phone

(207) 439-9045

Fax

(207) 703-0289

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Patricia Grace Wentworth Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Exeter Hospital Inc

  • General Acute Care Hospital
  • Exeter, NH
  • NPI 1437158433
  NPD (past)
• Exeter Hospital, Inc

  • Preferred Provider Organization
  • Portsmouth, NH
  • NPI 1972602001
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1861585622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SARAH PAUL HILL",
            "city": "MADBURY",
            "state": "NH",
            "postal_code": "03823",
            "telephone_number": "603-740-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 STATE RD, RET1",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "03904",
            "telephone_number": "207-439-9045",
            "fax_number": "207-703-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENTWORTH",
        "first_name": "PATRICIA",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "D.C., ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "6191200",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MA",
            "license": "393",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "623901",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "AA19646",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "05Y003913NH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "WENTWORTH",
            "middle_name": "GRACE",
            "credential": "ATHLETIC TRIANER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Walgreen Eastern Co Inc
• Kevin M Webb, O.D.
• George Ethen Webber, M.D.
• Meryl S Wein, LCPC
• Wende Pediatrics
• Kristin Ruth Whitmore, LCPC
• Katherine Dunn Wilson, D.M.D
• Kirsten Sylvain Winter, OD
• York Hospital

• Chiropractor in Kittery, ME
• Providers in Kittery, ME by specialty
• Chiropractor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.