Individual provider Active NPI

Daniel Dennis Deloge, LMT

  • Massage Therapist
  • Hillsborough, NH
National Provider Identifier
1972171999
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7998 Issued in NH
Practice address
45 Valhalla Farm Road
Hillsborough, NH 03244-0324
Phone
(603) 933-2710
NPI assigned
Jun 15, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 7998 NH Primary

Addresses

Primary practice location

45 Valhalla Farm Road
Hillsborough, NH 03244-0324

Mailing address

45 Valhalla Farm Road
Hillsborough, NH 03244
Phone (603) 933-2710

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7998NHMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1972171999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 VALHALLA FARM ROAD",
            "city": "HILLSBOROUGH",
            "state": "NH",
            "postal_code": "03244",
            "telephone_number": "603-933-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 VALHALLA FARM ROAD",
            "city": "HILLSBOROUGH",
            "state": "NH",
            "postal_code": "032440324",
            "telephone_number": "603-933-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOGE",
        "first_name": "DANIEL",
        "middle_name": "DENNIS",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NH",
            "license": "7998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.