Individual provider Active NPI

Cassandre Cardillo, D.C.

  • Chiropractor
  • Dover, NH
National Provider Identifier
1922012004
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
789-0707 Issued in NH
Practice address
43 Main St
#1
Dover, NH 03820-3800
Phone
(603) 516-0990
Fax
(603) 516-0991
NPI assigned
Jul 27, 2006
Last updated
Nov 20, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 789-0707 NH Primary

Addresses

Primary practice location

43 Main St
#1
Dover, NH 03820-3800

Mailing address

43 Main St
#1
Dover, NH 03820-3800
Phone (603) 516-0990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
789-0707NHMDChiropractor
3025MAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bay State Physical Therapy of Randolph Inc Chiropractor Past Accepting new patients
Sports Group Physical Therapy Past Accepting new patients
Cancro Chiropractic PC Chiropractor PastSince Jan 13, 2015 Accepting new patients
Khalsa Chiropractic Office P.C. Chiropractor PastSince Jan 1, 2008 Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1922012004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 MAIN ST",
            "address_2": "#1",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203800",
            "telephone_number": "603-516-0990",
            "fax_number": "603-516-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 MAIN ST",
            "address_2": "#1",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203800",
            "telephone_number": "603-516-0990",
            "fax_number": "603-516-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDILLO",
        "first_name": "CASSANDRE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "789-0707",
            "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 Nov 20, 2007; 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.