Organization Active NPI

League Chiropractic, PLLC

Doing business as Cheshire Chiropractic Center

  • Nutrition Chiropractor
  • Keene, NH
National Provider Identifier
1922104538
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
712-0104 Issued in NH
Legal business name
LEAGUE CHIROPRACTIC, PLLC
Doing business as
Cheshire Chiropractic Center
Practice address
815 Court St Unit 1
Keene, NH 03431-1770
Phone
(603) 355-9911
Fax
(603) 355-9916
NPI assigned
Sep 15, 2006
Last updated
Aug 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Authorized official

Name
Robert S League, DCNPI 1619982329
Title
Owner
Phone
(603) 355-9911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 712-0104 NH Primary

Addresses

Primary practice location

815 Court St Unit 1
Keene, NH 03431-1770

Mailing address

815 Court St Unit 1
Keene, NH 03431-1770
Phone (603) 355-9911

Other names 1

  • Cheshire Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070205000140 NH Part B Supplier - Clinic/Group Practice 8527060524 Receives reassigned benefits from 1 practitioner
Practice locations: Keene, NH

National Provider Directory

National Provider Directory

Locations

305 Park Ave
Keene, NH 03431
Phone (603) 358-6116

423 Winchester St
Keene, NH 03431
Phone (603) 355-9911

815 Court St
Unit 1
Keene, NH 03431
Phone (603) 355-9911

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598227200000",
    "number": "1922104538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 COURT ST UNIT 1",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311770",
            "telephone_number": "603-355-9911",
            "fax_number": "603-355-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 COURT ST UNIT 1",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311770",
            "telephone_number": "603-355-9911",
            "fax_number": "603-355-9916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAGUE CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "LEAGUE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-355-9911",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "NH",
            "license": "712-0104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cheshire Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Keene, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.