Anna Geltrude Petrella, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

126-0493 Issued in NH

Practice address

124 Bedford Center Rd
Ste a
Bedford, NH 03110-5448

Phone

(603) 472-3011

Fax

(603) 472-8788

NPI assigned

Jan 22, 2007

Last updated

Oct 19, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1992

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1962556670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 BEDFORD CENTER RD",
            "address_2": "STE A",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031105448",
            "telephone_number": "603-472-3011",
            "fax_number": "603-472-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 BEDFORD CENTER RD",
            "address_2": "STE A",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031105448",
            "telephone_number": "603-472-3011",
            "fax_number": "603-472-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRELLA",
        "first_name": "ANNA",
        "middle_name": "GELTRUDE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "126-0493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE #",
            "identifier": "126-0493",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Bedford, NH
• Providers in Bedford, NH by specialty
• Chiropractor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; 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.