Individual provider Active NPI

Jesse Carmen Mead, D.C.

  • Chiropractor
  • Dover, NH
National Provider Identifier
1881977064
Registry record updated Dec 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1212 Issued in NH
Practice address
627 Central Ave
Dover, NH 03820-3599
Phone
(603) 749-3333
NPI assigned
Sep 23, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CR2312 ME
Chiropractor 111N00000X 3352 MA
Chiropractor 111N00000X 1212 NH Primary

Addresses

Primary practice location

627 Central Ave
Dover, NH 03820-3599

Mailing address

627 Central Ave
Dover, NH 03820-3599
Phone (603) 749-3333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250313000147 NH Practitioner - Chiropractic 5890953699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

627 Central Ave
Dover, NH 03820-3599
Phone (508) 367-7684

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1212NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reddy Family Chiropractic, LLC Chiropractor CurrentSince Jan 5, 2025 Accepting new patients
Sisu Chiro PLLC Chiropractor CurrentSince Feb 24, 2025 Accepting new patients
Fresh Start Chiropractic, LLC Chiropractor Past Accepting new patients
Me Integrative Health Services LLC Chiropractor PastSince Feb 25, 2018 Accepting new patients

Locations

222 Auburn St
Ste 102
Portland, ME 04103
Phone (207) 653-4301

627 Central Ave
Dover, NH 03820
Phone (508) 367-7684

Organizations & group practices 4

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": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735430400000",
    "number": "1881977064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203599",
            "telephone_number": "603-749-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203599",
            "telephone_number": "603-749-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEAD",
        "first_name": "JESSE",
        "middle_name": "CARMEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-23",
        "last_updated": "2024-12-29",
        "certification_date": "2024-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR2312",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3352",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "1212",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 29, 2024; 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.