Individual provider Active NPI

Stephanie M. Degroat, D.C.

  • Chiropractor
  • Goffstown, NH
National Provider Identifier
1972031425
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1073 Issued in NH
Practice address
17A Tatro Rd Ste 101
Goffstown, NH 03045-2370
Phone
(603) 384-1680
NPI assigned
May 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR0007599 CO
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1073 NH Primary

Addresses

Primary practice location

17A Tatro Rd Ste 101
Goffstown, NH 03045-2370

Mailing address

17A Tatro Rd Ste 101
Goffstown, NH 03045-2370
Phone (603) 384-1680

Other practice location 1

8000 E Prentice Ave Ste C3
Greenwood Village, CO 80111-2727
Phone (315) 882-4600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210311000311 NH Practitioner - Chiropractic 7517204977 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1073NHMDMental Health Counselor
CHR0007599COMDChiropractor

Organizations & group practices 1

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": "1496016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1972031425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17A TATRO RD STE 101",
            "city": "GOFFSTOWN",
            "state": "NH",
            "postal_code": "030452370",
            "telephone_number": "603-384-1680",
            "fax_number": "603-384-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17A TATRO RD STE 101",
            "city": "GOFFSTOWN",
            "state": "NH",
            "postal_code": "030452370",
            "telephone_number": "603-384-1680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8000 E Prentice Ave Ste C3",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801112727",
            "country_code": "US",
            "telephone_number": "315-882-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEGROAT",
        "first_name": "STEPHANIE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-29",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR0007599",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "1073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goffstown, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.