Active NPI
Robert Thies, MD
- Neurology Physician
- Manchester, NH
National Provider Identifier
1962487769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 6531
- Practice address
- 769 S Main St
Manchester, NH 03102-5166 - Phone
- (603) 669-0859
- Fax
- (603) 644-3391
- NPI assigned
- Dec 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 6531 | NH | Primary |
| Neurology Physician | 2084N0400X | 77799 | MA |
Addresses
Primary practice location
769 S Main St
Manchester, NH 03102-5166
Mailing address
769 S Main St
Manchester, NH 03102-5166
Phone (603) 669-0859
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81130401 | Medicaid | NH |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77799 | MA | MD | Neurology Physician |
| 6531 | NH | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295395200000",
"number": "1962487769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "769 S MAIN ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031025166",
"telephone_number": "603-669-0859",
"fax_number": "603-644-3391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "769 S MAIN ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031025166",
"telephone_number": "603-669-0859",
"fax_number": "603-644-3391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIES",
"first_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2011-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NH",
"license": "6531",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MA",
"license": "77799",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "81130401",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.