Organization Active NPI

Middleton Chiropractic LLC

  • Chiropractor
  • Dover, NH
National Provider Identifier
1881853869
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7010803 Issued in NH
Legal business name
MIDDLETON CHIROPRACTIC LLC
Practice address
40 Pointe PL Ste 125
Dover, NH 03820-4771
Phone
(603) 749-2045
Fax
(603) 749-2088
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Authorized official

Name
Amy D Middleton
Title
Clinic Director
Phone
(603) 749-2045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7010803 NH Primary

Addresses

Primary practice location

40 Pointe PL Ste 125
Dover, NH 03820-4771

Mailing address

40 Pointe PL Ste 125
Dover, NH 03820-4771
Phone (603) 749-2045

Other identifiers 1

IdentifierTypeStateIssuer
30256124MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081208000090 NH Part B Supplier - Clinic/Group Practice 6507927647 Receives reassigned benefits from 1 practitioner
Practice locations: Dover, NH

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

40 Pointe Pl
Ste 125
Dover, NH 03820
Phone (603) 749-2045

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1881853869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 POINTE PL STE 125",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038204771",
            "telephone_number": "603-749-2045",
            "fax_number": "603-749-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 POINTE PL STE 125",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038204771",
            "telephone_number": "603-749-2045",
            "fax_number": "603-749-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLETON CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "603-749-2045"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "7010803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30256124",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.